Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $54.77 / $99.20	Facility		$5.20	$54.77	$99.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.29 / $110.00	Professional		$5.05	$6.29	$110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $16.44	Professional		$5.05	$5.05	$16.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $6.06	Facility		$5.77	$5.77	$6.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $11.61	Facility		$4.76	$4.76	$11.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $15.64 / $332.00	Facility		$4.76	$15.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $15.64 / $17.98	Professional		$7.63	$15.64	$17.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $32.56 / $32.56	Facility		$5.34	$32.56	$32.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.34 / $32.56	Professional		$5.05	$5.34	$32.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $19.76 / $29.21	Facility		$5.73	$19.76	$29.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $555.00	Facility		$4.76	$4.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.60 / $12.66	Professional		$5.05	$5.60	$12.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $57.79	Professional		$5.05	$5.36	$57.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Facility		$5.34	$5.34	$5.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.34	Professional		$5.05	$5.05	$5.34