Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.63 / $5.62	Facility		$2.00	$2.63	$5.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.24	Professional		$2.00	$2.00	$3.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.09	Facility		$2.00	$2.00	$2.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.86	Facility		$1.78	$1.78	$1.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $85.11	Facility		$1.91	$1.91	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.24	Professional		$2.00	$2.00	$2.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $3.80 / $7.24	Facility		$1.91	$3.80	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.80 / $3.80	Professional		$2.09	$3.80	$3.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.95	Facility		$1.86	$1.86	$1.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.95 / $1.95	Professional		$1.86	$1.95	$1.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $50,118.72 / $75,857.76	Facility		$2.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.00 / $2.63	Professional		$1.78	$2.00	$2.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $2.19	Facility		$1.86	$1.86	$2.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.95 / $1.95	Professional		$1.86	$1.95	$1.95