Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $19.36	Facility		$0.02	$0.04	$19.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $125.00 / $125.00	Professional		$124.00	$125.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $10.95 / $24.10	Professional		$9.22	$10.95	$24.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $23.04 / $23.04	Facility		$13.82	$23.04	$23.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $23.04 / $23.04	Professional		$8.36	$23.04	$23.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $29.77 / $37.21	Professional		$28.91	$29.77	$37.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.45	Professional		$5.05	$5.05	$6.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $254.50 / $74,999.25	Facility		$13.73	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $36.14	Professional		$20.75	$20.75	$36.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Facility		$29.26	$29.26	$29.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $6.45 / $29.26	Professional		$6.45	$6.45	$29.26