Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.60 / $2.74	Facility		$1.13	$1.60	$2.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.57 / $2.47	Professional		$0.92	$1.57	$2.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $4.22	Professional		$1.17	$1.17	$4.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.18 / $2.18	Facility		$2.02	$2.18	$2.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.78 / $332.00	Facility		$2.61	$4.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.52 / $5.66	Professional		$2.61	$3.52	$5.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.93 / $1.93	Facility		$1.52	$1.93	$1.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.62 / $1.93	Professional		$1.52	$1.62	$1.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $597.00	Facility		$3.06	$3.06	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $4.49	Professional		$1.33	$1.33	$4.49
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.57 / $2.90	Professional		$0.87	$1.57	$2.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.88	Facility		$1.52	$1.52	$1.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.62 / $1.93	Professional		$1.52	$1.62	$1.93