Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $6.69 / $158.91	Facility		$3.10	$6.69	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.68	Professional		$3.10	$3.10	$3.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.10 / $3.10	Professional		$2.79	$3.10	$3.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.41 / $2.65	Facility		$2.41	$2.41	$2.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.92 / $2.92	Facility		$2.59	$2.92	$2.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $4.38 / $332.00	Facility		$2.92	$4.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.17	Professional		$3.10	$3.10	$4.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.22	Facility		$3.10	$3.10	$3.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.22	Professional		$3.10	$3.10	$3.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.92 / $555.00	Facility		$2.59	$2.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.10	Professional		$3.00	$3.00	$3.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.57	Professional		$3.10	$3.10	$4.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Facility		$3.22	$3.22	$3.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.10 / $3.22	Professional		$2.69	$3.10	$3.22