Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $4,466.84	Facility		$7.24	$10.96	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.00	Professional		$7.08	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.59	Facility		$7.24	$7.24	$7.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.31	Facility		$6.03	$6.03	$6.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.92 / $85.11	Facility		$6.03	$6.92	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $30.90	Professional		$7.24	$7.24	$30.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.91 / $24.55	Facility		$6.92	$8.91	$24.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.12	Professional		$7.94	$7.94	$9.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.59	Facility		$7.24	$7.24	$7.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.59	Professional		$7.24	$7.24	$7.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $50,118.72 / $75,857.76	Facility		$9.33	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.24 / $10.47	Professional		$7.08	$7.24	$10.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $8.51	Facility		$7.24	$7.24	$8.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $8.71	Professional		$7.24	$7.59	$8.71