Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $10.37 / $35.22	Facility		$4.29	$10.37	$35.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.38 / $5.05	Professional		$4.13	$4.38	$5.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $13.16	Facility		$5.05	$5.05	$13.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.03 / $10.97	Professional		$2.31	$3.03	$10.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $5.05 / $5.05	Facility		$3.04	$5.05	$5.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.05 / $5.05	Professional		$3.69	$5.05	$5.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $10.60 / $50.93	Facility		$3.54	$10.60	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.48 / $33.06	Professional		$3.69	$5.48	$33.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $6.58 / $332.00	Facility		$3.00	$6.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.04 / $9.26	Professional		$2.31	$3.04	$9.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.03 / $5.03	Facility		$5.03	$5.03	$5.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.03 / $6.45	Professional		$4.30	$5.03	$6.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $3.77	Professional		$3.77	$3.77	$3.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $13.83 / $26.27	Facility		$4.07	$13.83	$26.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $3.37	Professional		$3.37	$3.37	$3.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $12.77 / $66.78	Facility		$6.35	$12.77	$66.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $5.80 / $10.42	Professional		$3.90	$5.80	$10.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.04 / $7.67	Professional		$2.10	$3.04	$7.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $5.82 / $17.89	Facility		$5.82	$5.82	$17.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.43 / $6.49	Professional		$4.30	$5.43	$6.49