Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $58.50 / $110.00	Facility		$40.65	$58.50	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $76.80	Professional		$40.65	$40.65	$76.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $81.88	Professional		$40.65	$40.65	$81.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Facility		$30.77	$30.77	$30.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Professional		$30.77	$30.77	$30.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $38.35 / $85.00	Facility		$33.44	$38.35	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.94	Professional		$40.65	$40.65	$47.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $57.53 / $332.00	Facility		$44.10	$57.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $44.10 / $44.10	Professional		$42.19	$44.10	$44.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $42.19	Facility		$40.65	$40.65	$42.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.19 / $42.19	Professional		$40.65	$42.19	$42.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $48.15 / $52.12	Facility		$45.94	$48.15	$52.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $38.35 / $85.00	Facility		$33.44	$38.35	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $40.65 / $49.86	Professional		$15.00	$40.65	$49.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.16	Professional		$40.65	$40.65	$56.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $42.19 / $63.01	Facility		$42.19	$42.19	$63.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.19 / $42.19	Professional		$40.65	$42.19	$42.19