Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.94 / $6.46	Facility		$3.23	$3.94	$6.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $4.36	Professional		$3.23	$3.23	$4.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.58 / $3.23	Facility		$2.58	$2.58	$3.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.23 / $4.08	Professional		$3.22	$3.23	$4.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.36	Facility		$3.20	$3.20	$3.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.38	Facility		$3.04	$3.04	$3.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $4.55 / $332.00	Facility		$3.04	$4.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.16	Professional		$3.50	$3.50	$4.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $3.35	Facility		$3.23	$3.23	$3.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.35	Professional		$3.23	$3.23	$3.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $555.00	Facility		$3.04	$3.04	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $4.67	Professional		$3.23	$3.23	$4.67
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $4.42	Professional		$3.23	$3.23	$4.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Facility		$3.35	$3.35	$3.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $3.23 / $3.35	Professional		$1.06	$3.23	$3.35