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 $1.54 / $1.54 / $1.84	Professional		$1.54	$1.54	$1.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.54	Facility		$1.23	$1.23	$1.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.54 / $17.78	Professional		$1.28	$1.54	$17.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.61	Facility		$1.53	$1.53	$1.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Professional		$1.53	$1.53	$1.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.45 / $1.53	Facility		$1.33	$1.45	$1.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.54	Professional		$1.54	$1.54	$1.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.18 / $332.00	Facility		$1.45	$2.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $2.85	Professional		$1.67	$1.67	$2.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $1.54 / $1.60	Facility		$1.54	$1.54	$1.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.60	Professional		$1.54	$1.54	$1.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.45 / $555.00	Facility		$1.33	$1.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.54 / $1.94	Professional		$1.43	$1.54	$1.94
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.71	Professional		$1.54	$1.54	$2.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Facility		$1.60	$1.60	$1.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.60	Professional		$1.54	$1.54	$1.60