Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.97	Facility		$1.10	$1.10	$1.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.13 / $1.26	Professional		$0.95	$1.13	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.14	Professional		$1.14	$1.14	$1.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.14 / $1.27	Facility		$1.14	$1.14	$1.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.14	Professional		$1.14	$1.14	$1.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.24 / $1.24	Facility		$1.17	$1.24	$1.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $2.02	Facility		$1.17	$1.17	$2.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.35	Professional		$1.17	$1.17	$1.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.22 / $1.22	Facility		$1.17	$1.22	$1.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.22 / $1.22	Professional		$1.17	$1.22	$1.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.24 / $597.00	Facility		$1.17	$1.24	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $5.00 / $5.00	Professional		$1.17	$5.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $2.71	Professional		$1.14	$1.14	$2.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.22 / $2.31	Professional		$1.17	$1.22	$2.31