Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.93 / $4.80	Facility		$2.37	$2.93	$4.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.90	Professional		$2.37	$2.37	$2.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $2.37	Facility		$1.90	$1.90	$2.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.37 / $2.37	Professional		$2.00	$2.37	$2.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.31	Facility		$2.20	$2.20	$2.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.48	Facility		$2.24	$2.24	$2.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.36 / $332.00	Facility		$2.24	$3.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.38	Professional		$2.57	$2.57	$3.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $2.46	Facility		$2.37	$2.37	$2.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.46	Professional		$2.37	$2.37	$2.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $555.00	Facility		$2.24	$2.24	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.37 / $2.94	Professional		$2.35	$2.37	$2.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $3.32	Professional		$2.37	$2.37	$3.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Facility		$2.46	$2.46	$2.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.46	Professional		$2.37	$2.37	$2.46