Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $12.06 / $20.83	Facility		$6.21	$12.06	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.20 / $14.43	Professional		$4.20	$5.20	$14.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $7.31 / $19.01	Facility		$7.31	$7.31	$19.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.80 / $13.36	Professional		$2.75	$3.80	$13.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $7.31 / $7.31	Facility		$4.38	$7.31	$7.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.31 / $7.31	Professional		$5.34	$7.31	$7.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $14.84 / $59.88	Facility		$5.11	$14.84	$59.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.31 / $36.72	Professional		$4.34	$7.31	$36.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $9.50 / $332.00	Facility		$2.50	$9.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.38 / $13.38	Professional		$3.34	$4.38	$13.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Facility		$7.31	$7.31	$7.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.31 / $8.78	Professional		$5.26	$7.31	$8.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $17.88 / $78.50	Facility		$8.89	$17.88	$78.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $8.00 / $12.67	Professional		$4.55	$8.00	$12.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.38 / $15.97	Professional		$3.07	$4.38	$15.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $15.83	Facility		$8.41	$8.41	$15.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $7.51 / $9.43	Professional		$5.11	$7.51	$9.43