Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $9.86 / $62.78	Facility		$3.63	$9.86	$62.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.84 / $5.62	Professional		$3.30	$3.84	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $11.10	Facility		$4.26	$4.26	$11.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.56 / $9.08	Professional		$1.95	$2.56	$9.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $4.26 / $4.26	Facility		$2.56	$4.26	$4.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.26 / $4.26	Professional		$3.12	$4.26	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $8.47 / $44.95	Facility		$2.98	$8.47	$44.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.96 / $29.38	Professional		$3.25	$4.96	$29.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $6.06 / $332.00	Facility		$3.50	$6.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.56 / $7.81	Professional		$1.95	$2.56	$7.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Facility		$3.43	$3.43	$3.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.75 / $4.80	Professional		$2.94	$3.75	$4.80
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.74 / $3.42	Professional		$2.54	$2.74	$3.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $8.34 / $50.34	Facility		$2.84	$8.34	$50.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $10.21 / $58.93	Facility		$5.09	$10.21	$58.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.70 / $8.80	Professional		$3.36	$5.70	$8.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.56 / $6.27	Professional		$1.79	$2.56	$6.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $11.62	Facility		$4.91	$4.91	$11.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.09 / $5.13	Professional		$2.85	$4.09	$5.13