Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.71 / $4.76	Facility		$2.10	$2.71	$4.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.90	Professional		$2.10	$2.10	$2.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $2.10	Facility		$1.68	$1.68	$2.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.11	Professional		$2.10	$2.10	$2.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $1.94 / $2.04	Facility		$1.94	$1.94	$2.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Professional		$1.94	$1.94	$1.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $1.98 / $2.10	Facility		$1.98	$1.98	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $2.97 / $332.00	Facility		$1.98	$2.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $3.26	Professional		$2.27	$2.27	$3.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.18	Facility		$2.10	$2.10	$2.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.18	Professional		$2.10	$2.10	$2.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $1.98 / $555.00	Facility		$1.98	$1.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.87	Professional		$2.10	$2.10	$2.87
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $3.08	Professional		$2.10	$2.10	$3.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Facility		$2.18	$2.18	$2.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.18	Professional		$2.10	$2.10	$2.18