Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.99 / $38.90	Facility		$12.88	$23.99	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $19.05	Professional		$6.03	$10.00	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $33.11	Facility		$12.88	$12.88	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $26.92	Professional		$6.31	$6.31	$26.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.88 / $12.88	Facility		$7.76	$12.88	$12.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $12.88	Professional		$9.33	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $27.54 / $100.00	Facility		$9.77	$27.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.62 / $85.11	Professional		$8.32	$18.62	$85.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $40.74	Facility		$11.48	$16.60	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $24.55	Professional		$6.03	$8.91	$24.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $19.50	Professional		$9.55	$12.30	$19.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $50,118.72	Facility		$12.88	$22.91	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.48 / $15.85	Facility		$7.76	$11.48	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $19.50	Professional		$5.37	$7.76	$19.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $30.90	Facility		$9.55	$10.96	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $40.74	Professional		$9.55	$12.88	$40.74