Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.76 / $9.02	Facility		$4.11	$5.76	$9.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $7.14 / $7.46	Professional		$4.11	$7.14	$7.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $11.20 / $22.40	Facility		$11.20	$11.20	$22.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.89 / $12.83	Professional		$3.13	$3.89	$12.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $6.60 / $9.33	Facility		$6.60	$6.60	$9.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $23.52 / $332.00	Facility		$11.20	$23.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $20.16 / $31.14	Professional		$11.20	$20.16	$31.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $6.48	Facility		$6.42	$6.42	$6.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.48 / $6.89	Professional		$6.42	$6.48	$6.89
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 $5.09 / $6.92 / $19.18	Professional		$5.09	$6.92	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $9.77 / $14.43	Professional		$3.72	$9.77	$14.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $6.48 / $6.48	Facility		$1.95	$6.48	$6.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $6.42 / $6.89	Professional		$1.95	$6.42	$6.89