Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $41.69	Facility		$12.88	$22.91	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.00 / $19.05	Professional		$3.98	$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 / $20.89	Professional		$6.31	$6.31	$20.89
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 / $63.10	Facility		$9.77	$27.54	$63.10
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 $6.46 / $13.18 / $28.84	Facility		$6.46	$13.18	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $25.12	Professional		$6.03	$8.13	$25.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $15.14	Professional		$8.13	$10.96	$15.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $50,118.72	Facility		$11.48	$22.91	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.48 / $15.49	Facility		$7.76	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $19.50	Professional		$5.01	$7.08	$19.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $22.39	Facility		$8.13	$9.77	$22.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $36.31	Professional		$8.13	$12.30	$36.31