Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.34 / $30.06	Facility		$15.03	$18.34	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $20.29	Professional		$15.04	$15.04	$20.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $15.04	Facility		$12.03	$12.03	$15.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $28.05	Professional		$15.04	$15.04	$28.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $15.84	Facility		$15.09	$15.09	$15.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $16.07	Facility		$14.19	$14.19	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $21.29 / $332.00	Facility		$14.19	$21.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $19.44	Professional		$16.32	$16.32	$19.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $15.61	Facility		$15.04	$15.04	$15.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.61	Professional		$15.04	$15.04	$15.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $555.00	Facility		$14.19	$14.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $21.85	Professional		$15.04	$15.04	$21.85
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $21.08	Professional		$15.04	$15.04	$21.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.04 / $15.61	Professional		$12.88	$15.04	$15.61