Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $5.98 / $5.98	Facility		$5.91	$5.98	$5.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $6.49 / $8.92	Professional		$4.15	$6.49	$8.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $22.13 / $45.00	Professional		$22.13	$22.13	$45.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Facility		$30.53	$30.53	$30.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Facility		$20.80	$20.80	$20.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $20.59 / $20.80	Professional		$20.59	$20.59	$20.80
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $16.93	Professional		$10.00	$10.00	$16.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.71 / $14.04	Professional		$4.26	$6.71	$14.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $20.59 / $20.59	Facility		$20.59	$20.59	$20.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $20.59 / $20.80	Professional		$20.59	$20.59	$20.80