Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.92 / $64.57	Facility		$2.69	$6.92	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.45 / $16.98	Professional		$2.00	$2.45	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $7.08	Facility		$2.69	$2.69	$7.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.62 / $6.46	Professional		$1.32	$1.62	$6.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.69 / $2.69	Facility		$1.62	$2.69	$2.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.69 / $2.69	Professional		$1.95	$2.69	$2.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $5.89 / $28.84	Facility		$2.04	$5.89	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.09 / $18.62	Professional		$1.95	$3.09	$18.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.63 / $9.77	Facility		$3.02	$3.63	$9.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.63 / $5.13	Professional		$1.26	$2.63	$5.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.57 / $3.55	Professional		$2.04	$2.57	$3.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $6.76 / $40.74	Facility		$2.19	$6.76	$40.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.82 / $1.82	Professional		$1.78	$1.82	$1.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.13 / $50,118.72	Facility		$3.39	$5.13	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.45 / $3.24	Facility		$1.62	$2.45	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.62 / $4.07	Professional		$1.12	$1.62	$4.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.29 / $6.46	Facility		$2.04	$2.29	$6.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.69 / $10.00	Professional		$2.04	$2.69	$10.00