Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.99 / $38.02	Facility		$12.59	$23.99	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $18.62	Professional		$6.03	$10.00	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $33.11	Facility		$12.59	$12.59	$33.11
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 $7.59 / $12.59 / $12.59	Facility		$7.59	$12.59	$12.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $12.59	Professional		$9.33	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $32.36 / $95.50	Facility		$9.55	$32.36	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.78 / $81.28	Professional		$7.76	$17.78	$81.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.79 / $34.67	Facility		$8.51	$14.79	$34.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.91 / $24.55	Professional		$5.89	$8.91	$24.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $15.14	Professional		$9.12	$11.75	$15.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.91 / $50,118.72	Facility		$12.59	$22.91	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.48 / $15.14	Facility		$7.59	$11.48	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $19.05	Professional		$5.37	$7.59	$19.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $27.54	Facility		$9.12	$10.72	$27.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $37.15	Professional		$9.12	$12.02	$37.15