Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $11.14 / $18.26	Facility		$9.07	$11.14	$18.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.33	Professional		$9.07	$9.07	$12.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $7.26 / $9.07	Facility		$7.26	$7.26	$9.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $9.07 / $9.07	Professional		$5.04	$9.07	$9.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $6.64 / $6.97	Facility		$6.64	$6.64	$6.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $6.64	Professional		$6.64	$6.64	$6.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $8.55 / $8.55	Facility		$6.75	$8.55	$8.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $12.83 / $332.00	Facility		$8.55	$12.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $9.84 / $11.71	Professional		$9.84	$9.84	$11.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $9.41	Facility		$9.07	$9.07	$9.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.41	Professional		$9.07	$9.07	$9.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $8.55 / $555.00	Facility		$6.75	$8.55	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $10.45 / $27.00	Professional		$8.22	$10.45	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.71	Professional		$9.07	$9.07	$12.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $9.41 / $9.41	Facility		$9.41	$9.41	$9.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.41 / $24.80	Professional		$9.07	$9.41	$24.80