Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $74.50 / $658.20	Facility		$3.02	$74.50	$658.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $28.48 / $461.26	Professional		$3.02	$28.48	$461.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $97.57	Professional		$3.02	$3.02	$97.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $61.29 / $64.34	Facility		$61.29	$61.29	$64.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $61.29 / $61.29	Professional		$61.29	$61.29	$61.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $62.92	Facility		$2.85	$2.85	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $4.28 / $332.00	Facility		$2.85	$4.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.27 / $7.92	Professional		$3.27	$3.27	$7.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.13	Facility		$3.02	$3.02	$3.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.13	Professional		$3.02	$3.02	$3.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $5.16 / $96.62	Facility		$3.26	$5.16	$96.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $555.00	Facility		$2.85	$2.85	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.66 / $67.89	Professional		$3.02	$3.66	$67.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.73	Professional		$3.02	$3.02	$4.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.13 / $55.92	Professional		$3.02	$3.13	$55.92