Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.95 / $4.84	Facility		$2.42	$2.95	$4.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $3.27	Professional		$2.43	$2.43	$3.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $1.94 / $2.43	Facility		$1.94	$1.94	$2.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.43 / $2.70	Professional		$2.17	$2.43	$2.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $2.23	Facility		$2.12	$2.12	$2.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Professional		$2.12	$2.12	$2.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.43	Facility		$2.29	$2.29	$2.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Professional		$2.43	$2.43	$2.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.44 / $332.00	Facility		$2.29	$3.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $3.41	Professional		$2.52	$2.52	$3.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $2.43 / $2.47	Facility		$2.43	$2.43	$2.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.47	Professional		$2.43	$2.43	$2.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $555.00	Facility		$2.29	$2.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.43 / $3.18	Professional		$2.34	$2.43	$3.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $3.22	Professional		$2.43	$2.43	$3.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Facility		$2.47	$2.47	$2.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.47	Professional		$2.43	$2.43	$2.47