Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $58.88	Professional		$23.99	$25.12	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $25.70	Facility		$24.55	$24.55	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $50,118.72	Facility		$27.54	$27.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $131.83	Professional		$27.54	$27.54	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $95.50	Facility		$26.30	$38.90	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $31.62	Professional		$26.30	$26.30	$31.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Professional		$25.70	$25.70	$27.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $50,118.72 / $75,857.76	Facility		$53.70	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $27.54 / $27.54	Facility		$25.70	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $42.66	Professional		$27.54	$29.51	$42.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Facility		$25.70	$25.70	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Professional		$25.70	$25.70	$30.90