Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.44 / $7.72	Facility		$3.22	$4.44	$7.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.44 / $6.98	Professional		$3.22	$4.44	$6.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.25 / $11.84	Professional		$3.25	$3.25	$11.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $6.15 / $6.15	Facility		$5.72	$6.15	$6.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.15 / $6.15	Professional		$6.15	$6.15	$6.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $13.49 / $332.00	Facility		$7.37	$13.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $9.98 / $15.99	Professional		$7.74	$9.98	$15.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.55 / $6.15	Professional		$4.26	$4.55	$6.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $597.00	Facility		$8.75	$8.75	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $12.65	Professional		$3.04	$3.04	$12.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $4.42 / $8.03	Professional		$2.46	$4.42	$8.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.94	Facility		$4.26	$4.26	$4.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.55	Professional		$4.26	$4.26	$4.55