Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $77.89 / $1,096.96	Facility		$3.60	$77.89	$1,096.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.35 / $99.00	Professional		$3.22	$3.35	$99.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $5.98	Professional		$3.22	$3.22	$5.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $4.66	Facility		$4.44	$4.44	$4.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.44 / $4.44	Professional		$4.44	$4.44	$4.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.42	Facility		$3.04	$3.04	$3.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $4.55 / $332.00	Facility		$3.04	$4.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $8.44	Professional		$3.22	$3.22	$8.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $3.58	Facility		$3.22	$3.22	$3.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.58	Professional		$3.22	$3.22	$3.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $10.80 / $17.05	Facility		$3.08	$10.80	$17.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $555.00	Facility		$3.04	$3.04	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.12 / $21.00	Professional		$3.22	$5.12	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.41 / $6.15	Professional		$3.22	$3.41	$6.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Facility		$3.58	$3.58	$3.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.22 / $3.58	Professional		$1.74	$3.22	$3.58