Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.88 / $8.02	Facility		$4.01	$4.88	$8.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.05 / $5.52	Professional		$4.01	$4.05	$5.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $4.01	Facility		$3.22	$3.22	$4.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.01 / $4.01	Professional		$3.68	$4.01	$4.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $3.50	Facility		$3.33	$3.33	$3.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.79 / $4.09	Facility		$3.46	$3.79	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $5.69 / $332.00	Facility		$3.79	$5.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $6.07	Professional		$4.36	$4.36	$6.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.17	Facility		$4.01	$4.01	$4.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.17	Professional		$4.01	$4.01	$4.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.79 / $555.00	Facility		$3.46	$3.79	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.09 / $5.31	Professional		$4.01	$4.09	$5.31
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.73	Professional		$4.01	$4.01	$5.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.17	Professional		$4.01	$4.01	$4.17