Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $7.47 / $12.17	Facility		$4.05	$7.47	$12.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.01 / $4.88	Professional		$3.63	$4.01	$4.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $11.10	Facility		$4.26	$4.26	$11.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.58 / $10.61	Professional		$2.11	$2.58	$10.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.26 / $4.26	Professional		$3.12	$4.26	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $8.47 / $10.87	Facility		$2.98	$8.47	$10.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $20.58	Professional		$2.24	$2.24	$20.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $7.81 / $332.00	Facility		$4.26	$7.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.52 / $7.98	Professional		$1.71	$2.52	$7.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $4.26 / $7.11	Professional		$1.44	$4.26	$7.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $9.34 / $15.14	Facility		$5.12	$9.34	$15.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.53 / $11.04	Professional		$2.24	$3.53	$11.04
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.63 / $8.14	Professional		$2.16	$3.63	$8.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.91 / $4.91	Facility		$4.26	$4.91	$4.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $4.26 / $7.11	Professional		$1.44	$4.26	$7.11