Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $18.55 / $32.38	Facility		$4.19	$18.55	$32.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.80	Professional		$4.19	$4.19	$17.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $4.19	Facility		$3.35	$3.35	$4.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $150.91	Professional		$4.19	$4.19	$150.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $61.65 / $64.73	Facility		$61.65	$61.65	$64.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Professional		$61.65	$61.65	$61.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $39.65 / $96.90	Facility		$3.95	$39.65	$96.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $20.72	Professional		$4.19	$4.19	$20.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.52 / $332.00	Facility		$4.34	$6.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $5.67	Professional		$4.34	$4.34	$5.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $4.26	Facility		$4.19	$4.19	$4.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.26 / $4.26	Professional		$4.19	$4.26	$4.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $40.84 / $96.90	Facility		$3.95	$40.84	$96.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $87.00	Professional		$4.19	$4.19	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $6.43	Professional		$4.19	$4.44	$6.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.26 / $4.26	Professional		$4.19	$4.26	$4.26