Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.46 / $4,677.35	Facility		$3.89	$6.46	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $5.37	Professional		$3.02	$3.89	$5.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Facility		$3.89	$3.89	$4.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.98	Facility		$3.80	$3.80	$3.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $85.11	Facility		$3.63	$3.63	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $16.60	Professional		$3.89	$3.89	$16.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.79 / $13.18	Facility		$3.63	$4.79	$13.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.90	Professional		$4.27	$4.27	$4.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Facility		$3.89	$3.89	$4.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Professional		$3.89	$3.89	$4.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.37 / $4.68	Facility		$2.88	$4.37	$4.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $50,118.72 / $75,857.76	Facility		$5.01	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.62	Professional		$3.89	$3.89	$5.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.57	Facility		$3.89	$3.89	$4.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.07 / $4.68	Professional		$3.89	$4.07	$4.68