Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.36 / $11.54	Facility		$5.25	$7.36	$11.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.13 / $9.53	Professional		$5.25	$9.13	$9.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $28.66	Facility		$14.33	$14.33	$28.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.97 / $16.42	Professional		$4.00	$4.97	$16.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $11.94	Facility		$8.44	$8.44	$11.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Professional		$8.44	$8.44	$8.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Professional		$5.95	$5.95	$5.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $30.09 / $332.00	Facility		$14.33	$30.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $25.79 / $39.84	Professional		$14.33	$25.79	$39.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.27 / $11.19	Facility		$8.19	$8.27	$11.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.80 / $11.19	Professional		$8.19	$8.80	$11.19
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 $5.95 / $8.86 / $24.56	Professional		$5.95	$8.86	$24.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $12.52 / $18.48	Professional		$4.76	$12.52	$18.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $8.27 / $8.27	Facility		$4.42	$8.27	$8.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $8.19 / $11.19	Professional		$4.42	$8.19	$11.19