Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $5.43 / $9.26	Facility		$3.85	$5.43	$9.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.43 / $8.36	Professional		$3.85	$5.43	$8.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $14.20	Professional		$3.93	$3.93	$14.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $7.37 / $7.37	Facility		$6.85	$7.37	$7.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Professional		$7.37	$7.37	$7.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $10.37	Facility		$10.37	$10.37	$10.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $16.20 / $332.00	Facility		$8.85	$16.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $11.95 / $19.20	Professional		$8.85	$11.95	$19.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.65 / $5.12	Facility		$3.65	$3.65	$5.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.12 / $5.44	Professional		$3.65	$5.12	$5.44
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $8.85	Professional		$8.85	$8.85	$8.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $597.00	Facility		$10.37	$10.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $15.16	Professional		$4.51	$4.51	$15.16
United Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.31 / $9.94	Professional		$2.94	$5.31	$9.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $6.34	Facility		$5.12	$5.12	$6.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.12 / $5.44	Professional		$3.65	$5.12	$5.44