Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $39.81	Facility		$15.14	$19.95	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $25.70	Professional		$15.14	$15.14	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $85.11	Facility		$14.13	$14.13	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $64.57	Professional		$15.14	$15.14	$64.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.62 / $51.29	Facility		$14.13	$18.62	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.05	Professional		$16.22	$16.22	$19.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.49	Professional		$15.14	$15.14	$15.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $50,118.72 / $75,857.76	Facility		$1.91	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Professional		$15.14	$15.14	$21.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $17.78	Facility		$15.14	$15.14	$17.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $18.20	Professional		$13.80	$15.14	$18.20