Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.25 / $4.07	Facility		$1.85	$2.25	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.41	Professional		$1.88	$1.88	$2.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.88	Facility		$1.50	$1.50	$1.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $40.14	Professional		$1.88	$1.88	$40.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $21.72	Facility		$20.69	$20.69	$21.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $20.69 / $20.69	Professional		$20.69	$20.69	$20.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $20.34 / $85.00	Facility		$1.78	$20.34	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.66	Professional		$1.88	$1.88	$2.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.93 / $332.00	Facility		$1.95	$2.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.49	Professional		$1.95	$1.95	$2.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.92	Facility		$1.88	$1.88	$1.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.92 / $1.92	Professional		$1.88	$1.92	$1.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $25.44 / $85.00	Facility		$1.78	$25.44	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $13.39	Professional		$1.88	$1.88	$13.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.99 / $2.82	Professional		$1.88	$1.99	$2.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $1.92 / $1.92	Facility		$1.92	$1.92	$1.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.92 / $1.92	Professional		$1.88	$1.92	$1.92