Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $12.61 / $82.05	Facility		$5.12	$12.61	$82.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.86 / $7.07	Professional		$3.99	$4.86	$7.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $14.01	Facility		$5.39	$5.39	$14.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.26 / $12.16	Professional		$2.56	$3.26	$12.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $5.39 / $5.39	Facility		$3.23	$5.39	$5.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.39 / $5.39	Professional		$3.93	$5.39	$5.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $10.60 / $54.35	Facility		$3.76	$10.60	$54.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $6.20 / $34.89	Professional		$3.90	$6.20	$34.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.55 / $332.00	Facility		$4.00	$7.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $3.23 / $9.86	Professional		$2.46	$3.23	$9.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Facility		$4.74	$4.74	$4.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.17 / $6.48	Professional		$4.73	$5.17	$6.48
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $23.44 / $156.83	Facility		$7.28	$23.44	$156.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $12.77 / $70.65	Facility		$6.40	$12.77	$70.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.69 / $11.10	Professional		$4.32	$6.69	$11.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.23 / $8.17	Professional		$2.25	$3.23	$8.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $6.20 / $19.77	Facility		$6.20	$6.20	$19.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.83 / $7.13	Professional		$4.73	$5.83	$7.13