Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.93 / $3.16	Facility		$1.57	$1.93	$3.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.13	Professional		$1.57	$1.57	$2.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.57	Facility		$1.26	$1.26	$1.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.57 / $1.65	Professional		$1.44	$1.57	$1.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.42	Facility		$1.35	$1.35	$1.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.48 / $1.57	Facility		$1.46	$1.48	$1.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.22 / $332.00	Facility		$1.48	$2.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.49	Professional		$1.71	$1.71	$2.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.63	Facility		$1.57	$1.57	$1.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.63	Professional		$1.57	$1.57	$1.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.48 / $555.00	Facility		$1.46	$1.48	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.09	Professional		$1.57	$1.57	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.35	Professional		$1.57	$1.57	$2.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1.63 / $1.63	Facility		$1.63	$1.63	$1.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.63	Professional		$1.57	$1.57	$1.63