Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.25 / $4.38	Facility		$2.00	$2.25	$4.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.25 / $4.38	Professional		$2.00	$2.25	$4.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $6.81	Professional		$2.31	$2.31	$6.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.86 / $3.86	Facility		$3.59	$3.86	$3.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Professional		$3.86	$3.86	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.60 / $2.68	Facility		$2.60	$2.60	$2.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.21 / $2.68	Professional		$1.89	$2.21	$2.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $10.42 / $332.00	Facility		$4.63	$10.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.47 / $8.47	Professional		$2.72	$3.47	$8.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Facility		$3.40	$3.40	$3.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.86	Professional		$3.33	$3.33	$3.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.60 / $555.00	Facility		$2.60	$2.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.21 / $5.25	Professional		$1.89	$2.21	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.31 / $3.96	Professional		$1.54	$2.31	$3.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $3.33 / $3.33	Facility		$3.14	$3.33	$3.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.40	Professional		$3.33	$3.33	$3.40