Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.73 / $4.37	Facility		$1.97	$2.73	$4.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.73 / $2.84	Professional		$2.06	$2.73	$2.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $13.05	Professional		$2.73	$2.73	$13.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $9.88 / $10.37	Facility		$9.88	$9.88	$10.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $9.88	Professional		$9.88	$9.88	$9.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.73 / $11.68	Facility		$2.57	$2.73	$11.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $6.46	Professional		$2.73	$2.73	$6.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $4.63 / $332.00	Facility		$2.96	$4.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.96 / $18.01	Professional		$2.36	$2.96	$18.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.83	Facility		$2.73	$2.73	$2.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.83	Professional		$2.73	$2.73	$2.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.73 / $12.40	Facility		$2.57	$2.73	$12.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.73 / $6.46	Professional		$2.16	$2.73	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.73 / $6.32	Professional		$1.80	$2.73	$6.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Facility		$2.83	$2.83	$2.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.83 / $4.99	Professional		$2.73	$2.83	$4.99