Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.97 / $82.77	Facility		$3.45	$4.97	$82.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.73	Professional		$3.45	$3.45	$4.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $7.66	Professional		$3.45	$3.45	$7.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.62 / $3.80	Facility		$3.62	$3.62	$3.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $4.53 / $85.00	Facility		$3.25	$4.53	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $5.58	Professional		$3.45	$3.45	$5.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $5.36 / $332.00	Facility		$3.74	$5.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.74 / $5.17	Professional		$3.58	$3.74	$5.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $6.48	Facility		$3.45	$3.45	$6.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.48 / $6.48	Professional		$3.45	$6.48	$6.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Facility		$6.12	$6.12	$6.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.55 / $15.55	Professional		$15.29	$15.55	$15.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $4.67 / $85.00	Facility		$3.25	$4.67	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $14.00	Professional		$3.45	$3.45	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.66 / $6.37	Professional		$3.45	$3.66	$6.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Facility		$6.48	$6.48	$6.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.48 / $6.48	Professional		$3.45	$6.48	$6.48