Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.90 / $1.48	Facility		$0.74	$0.90	$1.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.90	Professional		$0.80	$0.80	$0.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.64 / $0.80	Facility		$0.64	$0.64	$0.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $3.50	Professional		$0.80	$0.80	$3.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.14	Facility		$2.85	$2.85	$3.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.75 / $4.97	Facility		$0.75	$0.75	$4.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.69 / $332.00	Facility		$0.75	$1.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.90 / $1.40	Professional		$0.75	$0.90	$1.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $0.83	Facility		$0.80	$0.80	$0.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.83	Professional		$0.80	$0.80	$0.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.75 / $555.00	Facility		$0.75	$0.75	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $5.33	Professional		$0.80	$0.80	$5.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.25	Professional		$0.80	$0.80	$1.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.83	Professional		$0.80	$0.80	$0.83