Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.85 / $3.04	Facility		$1.52	$1.85	$3.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.84	Professional		$1.52	$1.52	$1.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $1.52	Facility		$1.22	$1.22	$1.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.52 / $1.52	Professional		$1.38	$1.52	$1.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.30 / $1.37	Facility		$1.30	$1.30	$1.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $1.43 / $1.52	Facility		$1.37	$1.43	$1.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $2.15 / $332.00	Facility		$1.43	$2.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.65 / $1.96	Professional		$1.65	$1.65	$1.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.58	Facility		$1.52	$1.52	$1.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.58	Professional		$1.52	$1.52	$1.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $1.43 / $555.00	Facility		$1.37	$1.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.52 / $2.00	Professional		$1.50	$1.52	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $2.04	Professional		$1.52	$1.52	$2.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.58	Professional		$1.52	$1.52	$1.58