Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.43 / $3.98	Facility		$1.99	$2.43	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.15 / $1,638.75	Professional		$2.06	$2.15	$1,638.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $2.06	Facility		$1.66	$1.66	$2.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.06 / $2.22	Professional		$1.90	$2.06	$2.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $1.69	Facility		$1.61	$1.61	$1.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.61	Professional		$1.61	$1.61	$1.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.95 / $2.06	Facility		$1.69	$1.95	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.93 / $332.00	Facility		$1.95	$2.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.65	Professional		$2.24	$2.24	$3.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.95 / $555.00	Facility		$1.69	$1.95	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.67	Professional		$2.06	$2.06	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.32	Professional		$2.06	$2.06	$3.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06