Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.55 / $2.54	Facility		$1.27	$1.55	$2.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.54	Professional		$1.29	$1.29	$1.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $1.03 / $1.29	Facility		$1.03	$1.03	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.29 / $1.86	Professional		$1.26	$1.29	$1.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $1.20	Facility		$1.13	$1.13	$1.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Professional		$1.13	$1.13	$1.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.21 / $1.29	Facility		$1.15	$1.21	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.82 / $332.00	Facility		$1.21	$1.82	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $2.21	Professional		$1.34	$1.34	$2.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.34	Facility		$1.29	$1.29	$1.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.34	Professional		$1.29	$1.29	$1.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.21 / $555.00	Facility		$1.15	$1.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.29 / $1.89	Professional		$1.28	$1.29	$1.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.02	Professional		$1.29	$1.29	$2.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Facility		$1.34	$1.34	$1.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.29 / $1.34	Professional		$0.93	$1.29	$1.34