Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.38 / $24.78	Facility		$3.55	$4.38	$24.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.26 / $4.38	Professional		$3.55	$4.26	$4.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $14.47 / $38.56	Professional		$4.29	$14.47	$38.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $20.73 / $20.73	Facility		$20.73	$20.73	$20.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $20.73 / $20.73	Professional		$20.73	$20.73	$20.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $43.32 / $332.00	Facility		$23.67	$43.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $34.32 / $51.36	Professional		$24.85	$34.32	$51.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $16.75	Facility		$16.75	$16.75	$16.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $17.80 / $20.73	Professional		$16.75	$17.80	$20.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $597.00	Facility		$28.50	$28.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $42.70	Professional		$13.56	$13.56	$42.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $14.20 / $30.93	Professional		$8.28	$14.20	$30.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $16.75	Facility		$16.75	$16.75	$16.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $17.80	Professional		$16.75	$16.75	$17.80