Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.67 / $4.93	Facility		$2.25	$2.67	$4.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.71 / $3.86	Professional		$2.25	$2.71	$3.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.24 / $12.24	Facility		$6.12	$6.24	$12.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.41 / $9.44	Professional		$3.41	$3.41	$9.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $5.09 / $5.09	Facility		$4.74	$5.09	$5.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $3.51	Facility		$3.51	$3.51	$3.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $3.51	Professional		$2.98	$2.98	$3.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $13.77 / $332.00	Facility		$6.12	$13.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.53 / $11.02	Professional		$3.17	$4.53	$11.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.68 / $4.38	Professional		$3.16	$3.68	$4.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $555.00	Facility		$3.51	$3.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.51 / $8.91	Professional		$2.98	$3.51	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.67 / $5.60	Professional		$2.04	$3.67	$5.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.68 / $3.68	Facility		$3.26	$3.68	$3.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.68 / $3.91	Professional		$3.16	$3.68	$3.91