Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.13 / $9.33	Facility		$3.89	$5.13	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $4,073.80	Professional		$3.02	$4.07	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Facility		$3.89	$3.89	$4.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.61	Facility		$6.31	$6.31	$6.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $85.11	Facility		$3.63	$3.63	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $16.60	Professional		$3.89	$3.89	$16.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.68 / $12.88	Facility		$3.55	$4.68	$12.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.92	Professional		$3.89	$3.89	$6.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Facility		$3.89	$3.89	$4.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.07	Professional		$3.89	$3.89	$4.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $50,118.72 / $75,857.76	Facility		$5.75	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.92	Professional		$3.89	$3.89	$6.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.57	Facility		$3.89	$3.89	$4.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.07 / $4.68	Professional		$3.89	$4.07	$4.68