Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $23.70 / $60.39	Facility		$10.39	$23.70	$60.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.72 / $20.77	Professional		$7.56	$11.72	$20.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.54 / $35.20	Facility		$13.54	$13.54	$35.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.19 / $30.56	Professional		$6.46	$8.19	$30.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $13.54 / $13.54	Facility		$8.11	$13.54	$13.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.54 / $13.54	Professional		$9.88	$13.54	$13.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $27.56 / $137.79	Facility		$9.46	$27.56	$137.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.34 / $65.26	Professional		$9.98	$15.34	$65.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $20.96 / $332.00	Facility		$13.10	$20.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.11 / $24.78	Professional		$6.19	$8.11	$24.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $13.01 / $17.98	Professional		$10.61	$13.01	$17.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Professional		$9.48	$9.48	$9.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $33.96 / $65.98	Facility		$0.62	$33.96	$65.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $33.20 / $180.66	Facility		$13.73	$33.20	$180.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $16.39 / $27.89	Professional		$10.87	$16.39	$27.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.11 / $20.30	Professional		$5.69	$8.11	$20.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $15.57 / $49.92	Facility		$15.57	$15.57	$49.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.64 / $22.01	Professional		$11.94	$14.64	$22.01