Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.76 / $15.49	Facility		$5.37	$7.76	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $9.12	Professional		$5.01	$5.01	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.62	Facility		$5.37	$5.37	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $5.25	Facility		$4.90	$4.90	$5.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $8.13	Facility		$5.13	$5.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $23.44	Professional		$5.37	$5.37	$23.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.61 / $18.62	Facility		$5.13	$6.61	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $6.76	Professional		$5.50	$5.50	$6.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.75	Facility		$5.50	$5.50	$5.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.62	Professional		$5.50	$5.50	$5.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $50,118.72 / $75,857.76	Facility		$6.92	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.75 / $7.76	Professional		$5.37	$5.75	$7.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $6.31	Facility		$5.50	$5.50	$6.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.62 / $6.61	Professional		$5.50	$5.62	$6.61