Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $4.43 / $7.26	Facility		$3.59	$4.43	$7.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $4.90	Professional		$3.59	$3.59	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.87 / $3.59	Facility		$2.87	$2.87	$3.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.59 / $5.22	Professional		$3.46	$3.59	$5.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $3.15 / $3.31	Facility		$3.15	$3.15	$3.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.15 / $3.15	Professional		$3.15	$3.15	$3.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.59	Facility		$3.39	$3.39	$3.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.09 / $332.00	Facility		$3.39	$5.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $4.95	Professional		$3.90	$3.90	$4.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.59 / $3.73	Facility		$3.59	$3.59	$3.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.73	Professional		$3.59	$3.59	$3.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $555.00	Facility		$3.39	$3.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.59 / $5.03	Professional		$3.58	$3.59	$5.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $5.03	Professional		$3.59	$3.59	$5.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Facility		$3.73	$3.73	$3.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.73	Professional		$3.59	$3.59	$3.73