Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $30.20	Facility		$10.00	$19.50	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $25.12	Professional		$10.00	$16.60	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $34.67	Professional		$12.88	$12.88	$34.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.44 / $23.44	Facility		$21.88	$23.44	$23.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $50,118.72	Facility		$40.74	$40.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $26.30	Professional		$15.14	$15.14	$26.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $72.44	Facility		$17.78	$28.84	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $51.29	Professional		$24.55	$37.15	$51.29
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 $15.85 / $16.60 / $25.70	Professional		$15.85	$16.60	$25.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $50,118.72 / $75,857.76	Facility		$54.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $24.55	Professional		$17.78	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $24.55	Professional		$8.71	$14.13	$24.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.85 / $26.92	Facility		$15.49	$15.85	$26.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $25.70	Professional		$15.85	$16.60	$25.70