Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $15.32 / $50.13	Facility		$4.79	$15.32	$50.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.80	Professional		$4.79	$4.79	$5.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $51.34	Professional		$4.79	$4.79	$51.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $6.80	Facility		$6.48	$6.48	$6.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $7.72	Facility		$4.51	$4.51	$7.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $6.78 / $332.00	Facility		$4.51	$6.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $11.97	Professional		$5.19	$5.19	$11.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.97	Facility		$4.79	$4.79	$4.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.97	Professional		$4.79	$4.79	$4.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $7.89 / $10.19	Facility		$7.89	$7.89	$10.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $555.00	Facility		$4.51	$4.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.79 / $37.58	Professional		$4.00	$4.79	$37.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $8.92	Professional		$4.79	$4.79	$8.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Facility		$4.97	$4.97	$4.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.97 / $29.86	Professional		$4.79	$4.97	$29.86