Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $2.72 / $13.81	Facility		$1.57	$2.72	$13.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.59 / $2.89	Professional		$1.57	$1.59	$2.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $4.09	Professional		$1.57	$1.57	$4.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $2.06	Facility		$1.96	$1.96	$2.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Professional		$1.96	$1.96	$1.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $2.12	Facility		$1.48	$1.48	$2.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.22 / $332.00	Facility		$1.48	$2.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.06	Professional		$1.70	$1.70	$3.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.63	Facility		$1.57	$1.57	$1.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.63	Professional		$1.57	$1.57	$1.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $555.00	Facility		$1.48	$1.48	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.11 / $7.00	Professional		$1.57	$2.11	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.46	Professional		$1.57	$1.57	$2.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1.63 / $1.63	Facility		$1.63	$1.63	$1.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.63 / $2.72	Professional		$1.57	$1.63	$2.72