Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $24.55	Facility		$10.00	$15.85	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.05	Professional		$10.00	$15.14	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $39.81	Facility		$19.95	$19.95	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $41.69	Professional		$15.49	$15.49	$41.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $20.42	Facility		$19.05	$19.05	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $53,703.18	Facility		$30.90	$30.90	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $93.33	Professional		$16.98	$16.98	$93.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $77.62	Facility		$20.42	$33.88	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $57.54	Professional		$18.20	$36.31	$57.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $18.62	Facility		$16.22	$16.22	$18.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.95	Professional		$18.62	$18.62	$19.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50,118.72 / $75,857.76	Facility		$35.48	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $20.89 / $35.48	Professional		$7.24	$20.89	$35.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.62 / $19.50	Facility		$16.22	$18.62	$19.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $20.42	Professional		$18.62	$18.62	$20.42