Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.63 / $5.25	Facility		$1.95	$2.63	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.69	Professional		$1.00	$1.00	$2.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $1.74	Facility		$1.66	$1.66	$1.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.86 / $85.11	Facility		$1.70	$1.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $8.32	Professional		$1.95	$1.95	$8.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.40 / $6.61	Facility		$1.86	$2.40	$6.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.45	Professional		$2.04	$2.04	$2.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Professional		$1.95	$1.95	$2.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $50,118.72 / $75,857.76	Facility		$2.45	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.95 / $2.75	Professional		$1.82	$1.95	$2.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.29	Facility		$1.95	$1.95	$2.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.04 / $2.34	Professional		$1.95	$2.04	$2.34