Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $2.27 / $2,490.03	Facility		$1.11	$2.27	$2,490.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.14 / $2,073.38	Professional		$1.11	$1.14	$2,073.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $1.11	Facility		$0.89	$0.89	$1.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $2,293.42	Professional		$1.11	$1.11	$2,293.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.18	Facility		$1.12	$1.12	$1.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.17	Facility		$1.04	$1.04	$1.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.56 / $332.00	Facility		$1.04	$1.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $2.71	Professional		$1.20	$1.20	$2.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Facility		$1.11	$1.11	$1.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.68 / $3.05	Facility		$1.26	$1.68	$3.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $555.00	Facility		$1.04	$1.04	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.67	Professional		$1.11	$1.11	$1.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.79	Professional		$1.11	$1.11	$1.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Facility		$1.11	$1.11	$1.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11