Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.79 / $199.36	Facility		$1.59	$2.79	$199.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.79 / $3.83	Professional		$2.06	$2.79	$3.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.23 / $2.79	Facility		$2.23	$2.23	$2.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $72.95	Professional		$2.79	$2.79	$72.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $47.03	Facility		$44.79	$44.79	$47.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Professional		$44.79	$44.79	$44.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $8.78 / $85.00	Facility		$2.63	$8.78	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.29	Professional		$2.79	$2.79	$3.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $4.34 / $332.00	Facility		$2.90	$4.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.90 / $3.40	Professional		$2.79	$2.90	$3.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $47.22 / $47.22	Facility		$2.90	$47.22	$47.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.90 / $2.90	Professional		$2.79	$2.90	$2.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $5.08 / $6.06	Facility		$1.72	$5.08	$6.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.15	Professional		$2.09	$2.09	$2.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $47.79 / $85.00	Facility		$2.63	$47.79	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $9.01	Professional		$2.79	$2.79	$9.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.96 / $4.19	Professional		$2.79	$2.96	$4.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Facility		$2.90	$2.90	$2.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.90 / $2.90	Professional		$2.79	$2.90	$2.90