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 / $1.57	Professional		$1.44	$1.57	$1.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.29	Facility		$1.23	$1.23	$1.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.48 / $1.57	Facility		$1.30	$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 $1.70 / $1.70 / $3.03	Professional		$1.70	$1.70	$3.03
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 $1.30 / $1.48 / $555.00	Facility		$1.30	$1.48	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.06	Professional		$1.57	$1.57	$2.06
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.46	Professional		$1.57	$1.57	$2.46
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