Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $21.65	Facility		$12.13	$12.13	$21.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.13 / $12.89	Professional		$10.46	$12.13	$12.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $5.36 / $6.70	Facility		$5.36	$5.36	$6.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $15.00	Professional		$12.43	$12.43	$15.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $10.71 / $11.78	Facility		$7.37	$10.71	$11.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $10.71	Professional		$10.71	$10.71	$10.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $7.11 / $12.89	Facility		$6.90	$7.11	$12.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $12.89 / $332.00	Facility		$6.32	$12.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.89 / $15.92	Professional		$10.11	$12.89	$15.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $13.18 / $13.18	Facility		$12.89	$13.18	$13.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $13.18 / $13.18	Professional		$12.89	$13.18	$13.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.11 / $597.00	Facility		$7.11	$7.11	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $19.25	Professional		$12.89	$12.89	$19.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $17.42	Professional		$12.43	$12.43	$17.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $12.89 / $13.18	Professional		$6.77	$12.89	$13.18