Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $19.41 / $29.12	Facility		$19.41	$19.41	$29.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.41 / $24.17	Professional		$16.73	$19.41	$24.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $30.03	Facility		$27.30	$27.30	$30.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Professional		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $30.81 / $30.81	Professional		$30.81	$30.81	$30.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $35.67	Facility		$20.62	$20.62	$35.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $23.71	Professional		$20.62	$20.62	$23.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.83 / $20.83	Facility		$20.62	$20.83	$20.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.83 / $20.83	Professional		$20.62	$20.83	$20.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $30.81 / $30.81	Professional		$30.81	$30.81	$30.81
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $19.64 / $27.54	Professional		$14.04	$19.64	$27.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $20.83	Professional		$20.62	$20.62	$20.83