Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $15.45 / $21.12	Facility		$12.63	$15.45	$21.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $13.83 / $28.89	Professional		$12.63	$13.83	$28.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $12.37 / $26.95	Professional		$9.96	$12.37	$26.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $4,050.00	Facility		$17.05	$17.05	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $13.46 / $3,479.91	Facility		$13.46	$13.46	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $22.35 / $52.75	Professional		$9.26	$22.35	$52.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $64.00 / $332.00	Facility		$13.20	$64.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.95 / $23.87	Professional		$13.37	$15.95	$23.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.73 / $23.75	Professional		$9.61	$13.73	$23.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $555.00 / $3,479.91	Facility		$13.46	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $20.71 / $44.40	Professional		$11.00	$20.71	$44.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.50 / $32.92	Professional		$11.00	$15.50	$32.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $12.65 / $42.01	Facility		$12.65	$12.65	$42.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $15.56 / $27.85	Professional		$9.61	$15.56	$27.85