Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.18 / $47.86	Facility		$13.49	$28.18	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.02 / $23.44	Professional		$3.98	$12.02	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $41.69	Facility		$15.85	$15.85	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $22.91	Professional		$6.46	$6.46	$22.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.85 / $15.85	Facility		$9.55	$15.85	$15.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $15.85	Professional		$11.75	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $63.10	Facility		$11.22	$34.67	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $87.10	Professional		$9.55	$19.50	$87.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.85 / $36.31	Facility		$6.46	$15.85	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $30.90	Professional		$7.59	$9.55	$30.90
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 / $12.30 / $16.60	Professional		$8.13	$12.30	$16.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.84 / $50,118.72	Facility		$11.48	$28.84	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.45 / $19.05	Facility		$9.12	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $23.99	Professional		$5.25	$7.94	$23.99
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 / $13.49 / $37.15	Professional		$8.13	$13.49	$37.15