Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $12.14 / $3,679.14	Facility		$4.79	$12.14	$3,679.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.44 / $21.13	Professional		$4.79	$9.44	$21.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $20.88	Facility		$16.70	$16.70	$20.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $360.00 / $544.00	Professional		$13.00	$360.00	$544.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Facility		$12.41	$12.41	$12.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Professional		$12.41	$12.41	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $9.35 / $12.68	Facility		$8.18	$9.35	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44,999.55 / $44,999.55 / $44,999.55	Facility		$44,999.55	$44,999.55	$44,999.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Professional		$25.21	$25.21	$25.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $12.68 / $555.00	Facility		$8.18	$12.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $8.35 / $16.13	Professional		$5.43	$8.35	$16.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $1,519.83 / $1,519.83	Facility		$25.21	$1,519.83	$1,519.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Professional		$25.21	$25.21	$25.21