Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.27 / $26.68	Facility		$13.29	$16.27	$26.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.48 / $31.10	Professional		$13.29	$13.48	$31.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $13.29	Facility		$10.63	$10.63	$13.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $13.29 / $22.26	Professional		$12.72	$13.29	$22.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $12.12 / $12.73	Facility		$12.12	$12.12	$12.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $13.29	Facility		$12.54	$12.54	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $18.80 / $332.00	Facility		$12.54	$18.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $17.18	Professional		$13.79	$13.79	$17.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $555.00	Facility		$12.54	$12.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $18.89	Professional		$13.29	$13.29	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $19.60	Professional		$13.29	$13.29	$19.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.29 / $13.29	Professional		$11.18	$13.29	$13.29