Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.22 / $4.54	Facility		$2.27	$3.22	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.54 / $3.68	Professional		$2.75	$3.54	$3.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $19.64	Professional		$3.54	$3.54	$19.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $6.90	Facility		$6.57	$6.57	$6.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Professional		$6.57	$6.57	$6.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.34 / $9.34	Facility		$3.34	$3.34	$9.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $5.01 / $332.00	Facility		$3.34	$5.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $9.28	Professional		$3.84	$3.84	$9.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.67	Facility		$3.54	$3.54	$3.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.67	Professional		$3.54	$3.54	$3.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.34 / $555.00	Facility		$3.34	$3.34	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $5.05 / $15.91	Professional		$3.54	$5.05	$15.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.54 / $5.55	Professional		$3.19	$3.54	$5.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $3.67 / $3.67	Facility		$3.67	$3.67	$3.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.67 / $13.85	Professional		$3.54	$3.67	$13.85