Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $2.00 / $4.25	Facility		$1.22	$2.00	$4.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.92	Professional		$1.22	$1.22	$1.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $0.98 / $1.22	Facility		$0.98	$0.98	$1.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $20.28	Professional		$1.22	$1.22	$20.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $3.02	Facility		$2.88	$2.88	$3.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $3.44 / $85.00	Facility		$1.14	$3.44	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.29	Professional		$1.22	$1.22	$2.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $10.37 / $332.00	Facility		$1.32	$10.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.32 / $1.67	Professional		$1.27	$1.32	$1.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $1.26	Facility		$1.22	$1.22	$1.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.26 / $1.26	Professional		$1.22	$1.26	$1.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $3.68 / $85.00	Facility		$1.14	$3.68	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $9.23	Professional		$1.22	$1.22	$9.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.28 / $1.83	Professional		$1.22	$1.28	$1.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.26 / $1.26	Professional		$1.22	$1.26	$1.26