Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $6.84 / $11.22	Facility		$4.50	$6.84	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.68 / $7.57	Professional		$4.50	$4.68	$7.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $17.03	Professional		$4.50	$4.50	$17.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.61	Facility		$10.10	$10.10	$10.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $12.37	Facility		$4.24	$4.24	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $6.36 / $332.00	Facility		$4.24	$6.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $11.79	Professional		$4.88	$4.88	$11.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $4.67	Facility		$4.50	$4.50	$4.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.67	Professional		$4.50	$4.50	$4.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $555.00	Facility		$4.24	$4.24	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.50 / $14.27	Professional		$2.00	$4.50	$14.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $8.11	Professional		$4.50	$4.50	$8.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $4.67 / $4.67	Facility		$4.67	$4.67	$4.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.67 / $7.42	Professional		$4.50	$4.67	$7.42