Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $21.38	Facility		$10.00	$12.88	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $19.05	Professional		$12.88	$15.14	$19.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $26.30	Professional		$15.85	$15.85	$26.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.91 / $46.77	Facility		$21.38	$22.91	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $36.31	Professional		$20.42	$25.12	$36.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $19.95	Facility		$16.60	$16.60	$19.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $38.90	Professional		$14.13	$19.50	$38.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $40.74	Professional		$21.38	$26.30	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $36.31	Professional		$13.18	$19.50	$36.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $19.95	Facility		$14.79	$19.50	$19.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $30.90	Professional		$14.79	$19.50	$30.90