Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $17.43	Facility		$11.62	$11.62	$17.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $11.62 / $12.34	Professional		$10.02	$11.62	$12.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $9.38 / $11.73	Facility		$9.38	$9.38	$11.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $12.10 / $12.10	Professional		$10.58	$12.10	$12.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $9.97 / $10.97	Facility		$9.97	$9.97	$10.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $9.97 / $9.97	Professional		$9.97	$9.97	$9.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.79 / $12.34	Facility		$10.48	$10.79	$12.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $21.35	Facility		$12.34	$12.34	$21.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $14.19	Professional		$12.34	$12.34	$14.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.83 / $12.83	Facility		$12.34	$12.83	$12.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.83 / $12.83	Professional		$12.34	$12.83	$12.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $597.00	Facility		$10.79	$10.79	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $17.73	Professional		$12.34	$12.34	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $16.96	Professional		$12.10	$12.10	$16.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.83	Professional		$12.34	$12.34	$12.83