Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $32.57 / $3,874.86	Facility		$25.55	$32.57	$3,874.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.26 / $39.14	Professional		$27.00	$27.26	$39.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $27.00	Facility		$21.60	$21.60	$27.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $75.95	Professional		$27.00	$27.00	$75.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $39.58 / $41.56	Facility		$39.58	$39.58	$41.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $39.58 / $39.58	Professional		$39.58	$39.58	$39.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $43.36	Facility		$24.65	$24.65	$43.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $41.39 / $332.00	Facility		$27.59	$41.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $27.59 / $46.61	Professional		$25.47	$27.59	$46.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Facility		$27.00	$27.00	$27.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $18.61 / $18.61	Facility		$18.61	$18.61	$18.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $555.00	Facility		$24.65	$24.65	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $45.68	Professional		$27.00	$27.00	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $42.30	Professional		$27.00	$27.00	$42.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Facility		$27.00	$27.00	$27.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00