Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.70 / $2.90	Facility		$1.21	$1.70	$2.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.70 / $2.62	Professional		$1.21	$1.70	$2.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $4.47	Professional		$1.23	$1.23	$4.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.31 / $2.31	Facility		$2.15	$2.31	$2.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Facility		$3.25	$3.25	$3.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $5.09 / $332.00	Facility		$2.78	$5.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.75 / $6.03	Professional		$2.78	$3.75	$6.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.11 / $2.11	Facility		$1.61	$2.11	$2.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.71 / $2.11	Professional		$1.61	$1.71	$2.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $597.00	Facility		$3.25	$3.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $4.76	Professional		$1.42	$1.42	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.67 / $3.50	Professional		$0.92	$1.67	$3.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $1.99	Facility		$1.61	$1.61	$1.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.71 / $2.11	Professional		$1.61	$1.71	$2.11