Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $12.22 / $705.13	Facility		$6.73	$12.22	$705.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.79 / $9.75	Professional		$6.73	$6.79	$9.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $6.73	Facility		$5.38	$5.38	$6.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $137.30	Professional		$6.73	$6.73	$137.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $15.65 / $16.43	Facility		$15.65	$15.65	$16.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $15.65	Professional		$15.65	$15.65	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $17.10 / $85.00	Facility		$6.35	$17.10	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.52	Professional		$6.73	$6.73	$9.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $10.47 / $332.00	Facility		$6.98	$10.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $9.22	Professional		$6.98	$6.98	$9.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $6.85	Facility		$6.73	$6.73	$6.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.85 / $6.85	Professional		$6.73	$6.85	$6.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $17.55 / $19.50	Facility		$9.10	$17.55	$19.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $47.85 / $85.00	Facility		$6.35	$47.85	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $19.50	Professional		$6.73	$6.73	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.05 / $10.10	Professional		$6.73	$7.05	$10.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Facility		$6.85	$6.85	$6.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.85 / $6.85	Professional		$6.73	$6.85	$6.85