Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.68 / $30.00	Facility		$4.00	$7.68	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $9.05 / $10.05	Professional		$4.84	$9.05	$10.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $9.05 / $10.88	Professional		$5.82	$9.05	$10.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $21.74 / $22.83	Facility		$21.74	$21.74	$22.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $21.74	Professional		$21.74	$21.74	$21.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $8.53 / $9.02	Facility		$5.43	$8.53	$9.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $12.81 / $332.00	Facility		$8.53	$12.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.82 / $11.70	Professional		$9.05	$9.82	$11.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.39	Facility		$9.05	$9.05	$9.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.39	Professional		$9.05	$9.05	$9.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $8.53 / $555.00	Facility		$5.43	$8.53	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $9.05 / $19.96	Professional		$2.00	$9.05	$19.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $16.30	Professional		$9.05	$9.05	$16.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $9.39 / $9.39	Facility		$9.39	$9.39	$9.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $9.05 / $9.39	Professional		$1.23	$9.05	$9.39