Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $21.21 / $7,388.55	Facility		$10.54	$21.21	$7,388.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $14.67	Professional		$10.54	$10.65	$14.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $10.54	Facility		$8.43	$8.43	$10.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $21.06	Professional		$10.54	$10.54	$21.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.04 / $14.74	Facility		$14.04	$14.04	$14.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $13.75 / $85.00	Facility		$9.94	$13.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $15.29	Professional		$10.54	$10.54	$15.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $16.42 / $332.00	Facility		$10.54	$16.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.93	Professional		$10.54	$10.54	$13.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $17.43 / $25.99	Facility		$17.43	$17.43	$25.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Professional		$15.92	$15.92	$15.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $14.16 / $85.00	Facility		$9.94	$14.16	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $16.94	Professional		$10.54	$10.54	$16.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $15.81	Professional		$10.54	$11.17	$15.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54