Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $19.20 / $56.91	Facility		$6.05	$19.20	$56.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.29 / $15.52	Professional		$6.05	$6.29	$15.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $17.14	Professional		$6.05	$6.05	$17.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $5.69 / $5.97	Facility		$5.69	$5.69	$5.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Professional		$5.69	$5.69	$5.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $11.27	Facility		$5.70	$5.70	$11.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $8.55 / $332.00	Facility		$5.70	$8.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.56 / $15.85	Professional		$6.56	$6.56	$15.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $6.27	Facility		$6.05	$6.05	$6.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.27	Professional		$6.05	$6.05	$6.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $555.00	Facility		$5.70	$5.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $11.59 / $22.40	Professional		$6.05	$11.59	$22.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $10.90	Professional		$6.05	$6.05	$10.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $6.27	Facility		$6.27	$6.27	$6.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $6.05 / $7.20	Professional		$5.55	$6.05	$7.20