Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.92 / $3.14	Facility		$1.57	$1.92	$3.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.12	Professional		$1.69	$1.69	$2.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.69	Facility		$1.35	$1.35	$1.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.69 / $29.36	Professional		$1.61	$1.69	$29.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.52	Facility		$1.45	$1.45	$1.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.59 / $1.69	Facility		$1.49	$1.59	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.39 / $332.00	Facility		$1.59	$2.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.35	Professional		$1.83	$1.83	$2.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $1.75	Facility		$1.69	$1.69	$1.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.75	Professional		$1.69	$1.69	$1.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.59 / $555.00	Facility		$1.49	$1.59	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.69 / $2.25	Professional		$1.65	$1.69	$2.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.37	Professional		$1.69	$1.69	$2.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.75	Professional		$1.69	$1.69	$1.75