Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $23.06 / $74.66	Facility		$8.36	$23.06	$74.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $23.06 / $23.56	Professional		$8.36	$23.06	$23.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $40.39 / $79.20	Facility		$39.60	$40.39	$79.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $60.02	Professional		$25.00	$25.00	$60.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $32.47 / $32.47	Facility		$26.69	$32.47	$32.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Professional		$32.47	$32.47	$32.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.22	Professional		$16.22	$16.22	$22.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $89.10 / $332.00	Facility		$39.60	$89.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $29.70 / $72.15	Professional		$22.89	$29.70	$72.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Facility		$18.18	$18.18	$18.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.07 / $32.47	Professional		$18.18	$23.07	$32.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.78 / $21.78	Professional		$21.78	$21.78	$21.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $555.00	Facility		$22.22	$22.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.22	Professional		$16.22	$16.22	$22.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $23.76 / $35.51	Professional		$12.91	$23.76	$35.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $23.07 / $23.07	Facility		$20.20	$23.07	$23.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $23.07 / $23.07	Professional		$18.18	$23.07	$23.07