Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,344.23	Facility		$2,290.87	$2,290.87	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.51 / $2.51	Professional		$1.17	$1.51	$2.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.05	Facility		$1.00	$1.00	$1.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $1.00 / $85.11	Facility		$0.34	$1.00	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.41	Professional		$0.36	$0.36	$0.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.25 / $0.43	Facility		$0.22	$0.25	$0.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.25 / $0.30	Professional		$0.24	$0.25	$0.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.38	Facility		$0.32	$0.32	$0.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.34 / $0.34	Professional		$0.32	$0.34	$0.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Facility		$0.40	$0.40	$0.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.41 / $1.07	Professional		$0.41	$0.41	$1.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Facility		$0.36	$0.36	$0.36
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.36 / $0.48	Professional		$0.33	$0.36	$0.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.34 / $0.38	Facility		$0.32	$0.34	$0.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.34 / $0.34	Professional		$0.32	$0.34	$0.34