Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $4.18 / $8.27	Facility		$3.43	$4.18	$8.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.15	Professional		$3.48	$3.48	$4.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $2.78 / $3.48	Facility		$2.78	$2.78	$3.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $15.20	Professional		$3.48	$3.48	$15.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.73 / $4.09	Facility		$3.73	$3.73	$4.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Professional		$3.73	$3.73	$3.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $9.88	Facility		$3.28	$3.28	$9.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $4.92 / $332.00	Facility		$3.28	$4.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.97	Professional		$3.48	$3.48	$4.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.61	Facility		$3.48	$3.48	$3.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.61	Professional		$3.48	$3.48	$3.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $555.00	Facility		$3.28	$3.28	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $6.26	Professional		$3.48	$3.48	$6.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $5.22	Professional		$3.48	$3.48	$5.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Facility		$3.61	$3.61	$3.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.61 / $10.70	Professional		$3.48	$3.61	$10.70