Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $4.00 / $6.84	Facility		$2.84	$4.00	$6.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.00 / $6.18	Professional		$2.84	$4.00	$6.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.90 / $9.33	Professional		$1.87	$2.90	$9.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.44 / $5.44	Facility		$5.05	$5.44	$5.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.44 / $5.44	Professional		$5.44	$5.44	$5.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $11.95 / $332.00	Facility		$6.53	$11.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $8.82 / $14.17	Professional		$3.77	$8.82	$14.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $3.77	Facility		$1.33	$1.33	$3.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $3.77 / $4.00	Professional		$1.33	$3.77	$4.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $597.00	Facility		$7.68	$7.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $11.19	Professional		$3.35	$3.35	$11.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.79 / $7.11	Professional		$2.17	$3.79	$7.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $4.66	Facility		$3.77	$3.77	$4.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $3.77 / $4.00	Professional		$1.33	$3.77	$4.00