Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $50.12	Facility		$15.49	$31.62	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $23.99	Professional		$12.02	$12.88	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $42.66	Facility		$16.22	$16.22	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.32 / $38.90	Professional		$8.13	$8.32	$38.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $16.22	Facility		$9.77	$16.22	$16.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $16.22	Professional		$12.02	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $34.67 / $177.83	Facility		$12.59	$34.67	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $23.99 / $107.15	Professional		$10.72	$23.99	$107.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.38 / $54.95	Facility		$13.49	$21.38	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $31.62	Professional		$7.76	$10.72	$31.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $21.88	Professional		$10.72	$15.49	$21.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $29.51 / $50,118.72	Facility		$16.22	$29.51	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $19.50	Facility		$9.77	$14.79	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $24.55	Professional		$6.92	$9.77	$24.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $39.81	Facility		$10.72	$12.59	$39.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $52.48	Professional		$10.72	$16.22	$52.48