Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $59.86 / $101.63	Facility		$1.42	$59.86	$101.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.12	Professional		$1.42	$1.42	$2.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $3.84	Professional		$1.42	$1.42	$3.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Facility		$1.45	$1.45	$1.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.50	Facility		$1.33	$1.33	$1.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.75	Professional		$1.41	$1.41	$1.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.00 / $332.00	Facility		$1.33	$2.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.54 / $1.54	Professional		$1.31	$1.54	$1.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.47	Facility		$1.42	$1.42	$1.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.47	Professional		$1.42	$1.42	$1.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.63 / $2.04	Facility		$1.62	$1.63	$2.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.65 / $1.65	Professional		$1.65	$1.65	$1.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.41 / $555.00	Facility		$1.33	$1.41	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.54 / $1.97	Professional		$1.41	$1.54	$1.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.56	Professional		$1.42	$1.42	$2.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $5.87	Facility		$1.47	$1.47	$5.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.47 / $5.64	Professional		$1.42	$1.47	$5.64