Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.29 / $5.01	Facility		$1.85	$2.29	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.54	Professional		$1.85	$1.85	$2.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.85	Facility		$1.48	$1.48	$1.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.85 / $2.71	Professional		$1.76	$1.85	$2.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.67	Facility		$1.59	$1.59	$1.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.74 / $1.85	Facility		$1.66	$1.74	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.61 / $332.00	Facility		$1.74	$2.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $2.38	Professional		$1.92	$1.92	$2.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $1.88	Facility		$1.85	$1.85	$1.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.88	Professional		$1.85	$1.85	$1.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.74 / $555.00	Facility		$1.66	$1.74	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $1.85 / $2.54	Professional		$1.84	$1.85	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.50	Professional		$1.85	$1.85	$2.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Facility		$1.88	$1.88	$1.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.85 / $1.88	Professional		$1.17	$1.85	$1.88