Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $40.74	Facility		$13.49	$25.12	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $19.50	Professional		$6.03	$10.00	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $34.67	Facility		$13.49	$13.49	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $25.70	Professional		$5.89	$5.89	$25.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.49 / $13.49	Facility		$8.13	$13.49	$13.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $13.49	Professional		$9.77	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.84 / $95.50	Facility		$10.23	$28.84	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.78 / $81.28	Professional		$7.94	$17.78	$81.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.49 / $37.15	Facility		$8.51	$15.49	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $26.30	Professional		$6.31	$8.13	$26.30
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 / $11.48 / $16.22	Professional		$8.13	$11.48	$16.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $50,118.72	Facility		$13.49	$23.99	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.02 / $16.22	Facility		$8.13	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.13 / $19.95	Professional		$5.62	$8.13	$19.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $27.54	Facility		$8.13	$9.77	$27.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.88 / $38.90	Professional		$8.13	$12.88	$38.90