Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.51 / $7.72	Facility		$3.22	$4.51	$7.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.51 / $6.98	Professional		$3.22	$4.51	$6.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.28 / $10.55	Professional		$2.50	$3.28	$10.55
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 $8.64 / $8.64 / $8.64	Facility		$8.64	$8.64	$8.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $3.77	Professional		$3.77	$3.77	$3.77
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 $7.37 / $9.94 / $15.99	Professional		$7.37	$9.94	$15.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $2.79 / $4.26	Facility		$2.79	$2.79	$4.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.26 / $4.55	Professional		$2.79	$4.26	$4.55
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Professional		$7.37	$7.37	$7.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $597.00	Facility		$8.64	$8.64	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $12.65	Professional		$3.77	$3.77	$12.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $4.42 / $8.15	Professional		$2.46	$4.42	$8.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $5.29	Facility		$4.26	$4.26	$5.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.26 / $4.55	Professional		$2.79	$4.26	$4.55