Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.61 / $5.89	Facility		$3.63	$5.61	$5.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.63 / $6.51	Professional		$3.62	$3.63	$6.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $3.63	Facility		$2.90	$2.90	$3.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $13.25	Professional		$3.63	$3.63	$13.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $18.70	Facility		$17.00	$17.00	$18.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $19.12	Facility		$3.43	$3.43	$19.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $5.15 / $332.00	Facility		$3.43	$5.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $9.53	Professional		$3.63	$3.63	$9.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.77	Facility		$3.63	$3.63	$3.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.77	Professional		$3.63	$3.63	$3.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $555.00	Facility		$3.43	$3.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $16.44	Professional		$3.63	$3.63	$16.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.69	Professional		$3.63	$3.63	$5.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $3.77	Facility		$3.77	$3.77	$3.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.77	Professional		$3.63	$3.63	$3.77