Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $19.64	Facility		$13.10	$13.10	$19.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.10 / $13.91	Professional		$11.30	$13.10	$13.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Professional		$13.64	$13.64	$13.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $15.00	Facility		$13.64	$13.64	$15.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Professional		$13.64	$13.64	$13.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $14.76 / $14.76	Facility		$13.91	$14.76	$14.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $27.20	Facility		$15.72	$15.72	$27.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $18.07	Professional		$15.72	$15.72	$18.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.71	Facility		$14.45	$14.45	$15.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.71	Professional		$14.45	$14.45	$15.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $14.76 / $597.00	Facility		$13.91	$14.76	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $20.79	Professional		$13.91	$13.91	$20.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $19.11	Professional		$13.64	$13.64	$19.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.71	Professional		$14.45	$14.45	$15.71