Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $56.23	Facility		$19.50	$27.54	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $53.70	Professional		$19.05	$19.05	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Facility		$19.50	$19.50	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $12.30	Facility		$11.75	$11.75	$12.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $85.11	Facility		$12.88	$18.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $83.18	Professional		$19.50	$19.50	$83.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $66.07	Facility		$18.62	$23.99	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.70	Professional		$21.38	$21.38	$25.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Facility		$19.50	$19.50	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Professional		$19.50	$19.50	$20.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50,118.72 / $75,857.76	Facility		$22.39	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $27.54	Professional		$17.38	$19.50	$27.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $22.91	Facility		$19.50	$19.50	$22.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $19.50 / $23.44	Professional		$3.63	$19.50	$23.44