Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $55.32 / $422.61	Facility		$1.48	$55.32	$422.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.53 / $31.80	Professional		$1.48	$1.53	$31.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.94	Professional		$1.48	$1.48	$3.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $1.62	Facility		$1.39	$1.39	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.78	Professional		$1.48	$1.48	$1.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $2.09 / $332.00	Facility		$1.39	$2.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.60 / $1.60	Professional		$1.36	$1.60	$1.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.53	Facility		$1.48	$1.48	$1.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.53	Professional		$1.48	$1.48	$1.53
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.48	Professional		$1.25	$1.25	$1.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $1.69 / $2.06	Facility		$0.78	$1.69	$2.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.69	Professional		$1.68	$1.68	$1.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $85.00	Facility		$1.39	$1.39	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.60 / $2.09	Professional		$1.48	$1.60	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.31	Professional		$1.48	$1.48	$2.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $3.65	Facility		$1.53	$1.53	$3.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.53 / $3.50	Professional		$1.48	$1.53	$3.50