Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $13.32 / $65.59	Facility		$4.75	$13.32	$65.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.99 / $9.92	Professional		$3.19	$4.99	$9.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $14.56	Facility		$5.60	$5.60	$14.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.15 / $10.87	Professional		$2.17	$3.15	$10.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $5.60 / $5.60	Facility		$3.36	$5.60	$5.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.60 / $5.60	Professional		$4.09	$5.60	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $11.31 / $46.14	Facility		$3.92	$11.31	$46.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $6.20 / $36.72	Professional		$4.12	$6.20	$36.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.84 / $332.00	Facility		$4.00	$7.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.33 / $10.25	Professional		$2.56	$3.33	$10.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Facility		$2.83	$2.83	$2.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $5.29 / $6.73	Professional		$2.83	$5.29	$6.73
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $3.92 / $3.92	Professional		$3.92	$3.92	$3.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $15.40 / $200.35	Facility		$3.82	$15.40	$200.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Professional		$3.73	$3.73	$3.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $13.63 / $74.63	Facility		$6.77	$13.63	$74.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.90 / $11.54	Professional		$4.28	$5.90	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.36 / $8.49	Professional		$2.35	$3.36	$8.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.44 / $20.30	Facility		$6.44	$6.44	$20.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.87 / $7.32	Professional		$4.49	$5.87	$7.32