Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $12.57 / $20.60	Facility		$10.30	$12.57	$20.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.91	Professional		$10.30	$10.30	$13.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $8.24 / $10.30	Facility		$8.24	$8.24	$10.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $21.36	Professional		$10.30	$10.30	$21.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $10.08	Facility		$9.60	$9.60	$10.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Professional		$9.60	$9.60	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $10.30	Facility		$9.72	$9.72	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $14.58 / $332.00	Facility		$9.72	$14.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.36	Professional		$10.30	$10.30	$13.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.69	Facility		$10.30	$10.30	$10.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.69	Professional		$10.30	$10.30	$10.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $555.00	Facility		$9.72	$9.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $26.88	Professional		$10.30	$10.30	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.90	Professional		$10.30	$10.30	$13.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.39 / $11.77	Professional		$10.30	$10.39	$11.77