Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $57.54	Facility		$19.50	$36.31	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $28.84	Professional		$14.13	$15.14	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $50.12	Facility		$19.50	$19.50	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $44.67	Professional		$9.33	$9.55	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $19.50	Facility		$11.48	$19.50	$19.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $19.50	Professional		$14.13	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $40.74 / $204.17	Facility		$14.79	$40.74	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $28.18 / $93.33	Professional		$12.30	$28.18	$93.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $19.50 / $53.70	Facility		$3.98	$19.50	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $37.15	Professional		$7.76	$11.48	$37.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $18.20 / $25.12	Professional		$5.25	$18.20	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $50,118.72	Facility		$11.22	$34.67	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $23.44	Facility		$11.48	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $38.90	Professional		$8.13	$11.48	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9.33 / $38.90	Facility		$5.25	$9.33	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $18.20 / $30.90	Professional		$5.25	$18.20	$30.90