Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $3.69 / $6.30	Facility		$2.62	$3.69	$6.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.69 / $5.69	Professional		$2.62	$3.69	$5.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $9.68	Professional		$2.67	$2.67	$9.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.01 / $5.01	Facility		$4.66	$5.01	$5.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $7.06 / $7.06	Facility		$7.06	$7.06	$7.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $3.07	Professional		$3.07	$3.07	$3.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $11.02 / $332.00	Facility		$6.02	$11.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.13 / $13.06	Professional		$6.02	$8.13	$13.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $3.47	Facility		$1.17	$1.17	$3.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $3.47 / $3.70	Professional		$1.17	$3.47	$3.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $7.06 / $597.00	Facility		$7.06	$7.06	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $10.30	Professional		$3.07	$3.07	$10.30
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.61 / $6.75	Professional		$2.00	$3.61	$6.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $4.30	Facility		$3.47	$3.47	$4.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $3.47 / $3.70	Professional		$1.17	$3.47	$3.70