Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.75 / $12.02	Facility		$4.27	$5.75	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $9.33	Professional		$3.98	$3.98	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.47	Facility		$4.27	$4.27	$4.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $7.08	Facility		$6.76	$6.76	$7.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $8.32	Facility		$4.07	$4.07	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.90	Professional		$4.27	$4.27	$4.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.79 / $13.18	Facility		$3.63	$4.79	$13.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.17 / $5.37	Professional		$4.07	$4.17	$5.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.47	Facility		$4.27	$4.27	$4.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.47 / $4.47	Professional		$4.27	$4.47	$4.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $50,118.72 / $75,857.76	Facility		$6.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.75	Professional		$4.27	$4.27	$5.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $5.13	Facility		$4.27	$4.27	$5.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.47 / $4.47	Professional		$4.27	$4.47	$4.47