Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.90 / $1,622.17	Facility		$2.93	$3.90	$1,622.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.95 / $4.04	Professional		$2.93	$2.95	$4.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.93	Facility		$2.34	$2.34	$2.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $6.80	Professional		$2.93	$2.93	$6.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $6,500.00	Facility		$3.09	$3.09	$6,500.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $3.41	Facility		$2.76	$2.76	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $4.13 / $332.00	Facility		$2.76	$4.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $7.67	Professional		$3.17	$3.17	$7.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $3.04	Facility		$2.93	$2.93	$3.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.04	Professional		$2.93	$2.93	$3.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Facility		$9.47	$9.47	$9.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $555.00	Facility		$2.76	$2.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.97 / $4.97	Professional		$2.84	$2.97	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.11 / $5.44	Professional		$2.93	$3.11	$5.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.04 / $3.49	Professional		$2.93	$3.04	$3.49