Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $13.61 / $25.18	Facility		$11.49	$13.61	$25.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.61 / $19.71	Professional		$11.49	$13.61	$19.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $31.88 / $62.50	Facility		$31.25	$31.88	$62.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $52.02	Professional		$19.76	$19.76	$52.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $26.04 / $26.04	Facility		$24.22	$26.04	$26.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $26.04	Professional		$26.04	$26.04	$26.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $18.44	Professional		$13.46	$13.46	$18.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $70.31 / $332.00	Facility		$31.25	$70.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.50 / $56.25	Professional		$16.14	$22.50	$56.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.80 / $22.42	Professional		$16.84	$18.80	$22.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $25.36 / $25.36	Professional		$25.36	$25.36	$25.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $555.00	Facility		$18.44	$18.44	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $41.25	Professional		$13.46	$18.44	$41.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $17.85 / $28.13	Professional		$10.40	$17.85	$28.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $19.53	Facility		$18.80	$18.80	$19.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.80 / $19.97	Professional		$16.84	$18.80	$19.97