Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $12.68 / $19.86	Facility		$9.03	$12.68	$19.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $15.71 / $16.41	Professional		$9.03	$15.71	$16.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $49.32	Facility		$24.66	$24.66	$49.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.56 / $28.24	Professional		$6.90	$8.56	$28.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $20.54	Facility		$14.52	$14.52	$20.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $51.79 / $332.00	Facility		$24.66	$51.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $44.39 / $68.55	Professional		$24.66	$44.39	$68.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.12 / $14.26	Facility		$14.12	$14.12	$14.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.26 / $15.15	Professional		$14.12	$14.26	$15.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.35 / $42.23	Professional		$15.24	$20.35	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $21.53 / $31.78	Professional		$8.19	$21.53	$31.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $23.20	Facility		$14.26	$14.26	$23.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $15.15 / $23.20	Professional		$14.12	$15.15	$23.20