Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $38.90	Facility		$14.45	$19.50	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $20.42	Professional		$14.13	$14.13	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.14	Facility		$14.45	$14.45	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $12.30	Facility		$11.75	$11.75	$12.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $85.11	Facility		$12.02	$13.80	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $60.26	Professional		$14.45	$14.45	$60.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.78 / $48.98	Facility		$13.80	$17.78	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $26.30	Professional		$15.85	$15.85	$26.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.14	Facility		$14.45	$14.45	$15.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $50,118.72 / $75,857.76	Facility		$18.20	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $22.91	Professional		$13.49	$16.22	$22.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.22	Facility		$14.45	$14.45	$16.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $17.38	Professional		$7.76	$14.45	$17.38