Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.91 / $11.75	Facility		$3.98	$8.91	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $9.77	Professional		$3.98	$6.03	$9.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $14.45	Professional		$4.57	$4.57	$14.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.51 / $8.51	Facility		$7.94	$8.51	$8.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $50,118.72	Facility		$16.60	$16.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $10.23	Professional		$5.25	$5.25	$10.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.38 / $39.81	Facility		$10.47	$17.38	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $20.89	Professional		$9.33	$15.14	$20.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.82	Facility		$2.69	$2.69	$2.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.89 / $6.31	Professional		$2.69	$5.89	$6.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $50,118.72 / $75,857.76	Facility		$5.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.00 / $10.00	Professional		$6.92	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $9.33	Professional		$3.39	$5.13	$9.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.89 / $5.89	Facility		$2.69	$5.89	$5.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.89 / $6.31	Professional		$2.69	$5.89	$6.31