Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.00 / $3.63	Facility		$1.51	$2.00	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.88	Professional		$1.00	$1.00	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.58	Facility		$1.51	$1.51	$1.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.58	Facility		$1.51	$1.51	$1.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $85.11	Facility		$1.45	$1.45	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $6.46	Professional		$1.51	$1.51	$6.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.86 / $5.13	Facility		$1.45	$1.86	$5.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.86	Professional		$1.62	$1.62	$1.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.58	Facility		$1.51	$1.51	$1.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.58	Professional		$1.51	$1.51	$1.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $50,118.72 / $75,857.76	Facility		$1.95	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Facility		$1.51	$1.51	$1.51
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $2.19	Professional		$1.51	$1.51	$2.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.78	Facility		$1.51	$1.51	$1.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.82	Professional		$1.51	$1.51	$1.82