Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.46 / $5.43	Facility		$2.47	$3.46	$5.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $4.30 / $4.48	Professional		$2.47	$4.30	$4.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $6.74 / $13.48	Facility		$6.74	$6.74	$13.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $9.35	Professional		$0.24	$0.24	$9.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $3.97 / $5.61	Facility		$3.97	$3.97	$5.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $3.97 / $3.97	Professional		$3.97	$3.97	$3.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $14.15 / $332.00	Facility		$6.74	$14.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $12.13 / $18.73	Professional		$6.74	$12.13	$18.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $3.90	Facility		$3.86	$3.86	$3.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.90 / $4.15	Professional		$3.86	$3.90	$4.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $5.50 / $11.54	Professional		$4.16	$5.50	$11.54
United Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $6.74 / $6.74	Facility		$6.74	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $5.88 / $8.49	Professional		$2.24	$5.88	$8.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $3.90 / $89.60	Facility		$3.90	$3.90	$89.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.15 / $89.60	Professional		$3.86	$4.15	$89.60