Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.00 / $12.02	Facility		$7.94	$10.00	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.13 / $14.13	Professional		$5.01	$8.13	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.12	Professional		$14.13	$14.13	$25.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $50,118.72	Facility		$18.20	$18.20	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $13.80	Professional		$7.41	$7.41	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $21.88	Professional		$2.00	$2.00	$21.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.09	Facility		$2.00	$2.00	$2.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $10.23 / $10.96	Professional		$2.00	$10.23	$10.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $50,118.72 / $75,857.76	Facility		$4.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.12 / $17.38	Professional		$6.03	$9.12	$17.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $5.01 / $10.23	Facility		$2.00	$5.01	$10.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $10.23 / $10.96	Professional		$2.00	$10.23	$10.96