Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.95 / $14.40	Professional		$3.98	$4.95	$14.40
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $3.52 / $3.52 / $3.52	Professional	CQ	$3.52	$3.52	$3.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $7.76 / $75.00	Professional		$4.20	$7.76	$75.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $63.00 / $113.94	Professional		$6.44	$63.00	$113.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $45.00 / $78.67	Professional		$11.06	$45.00	$78.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $6.78 / $16.67	Professional		$5.16	$6.78	$16.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $20.00 / $107.04	Professional		$7.12	$20.00	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $7.26 / $15.00	Professional		$5.70	$7.26	$15.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.95 / $18.44	Professional		$5.93	$7.95	$18.44