Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $14.81 / $24.28	Facility		$12.14	$14.81	$24.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $16.39	Professional		$12.14	$12.14	$16.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $12.14	Facility		$9.71	$9.71	$12.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $12.14 / $12.14	Professional		$11.67	$12.14	$12.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $11.21	Facility		$10.68	$10.68	$11.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $11.45 / $12.14	Facility		$10.79	$11.45	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $17.18 / $332.00	Facility		$11.45	$17.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $15.69	Professional		$13.17	$13.17	$15.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.60	Facility		$12.14	$12.14	$12.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.60	Professional		$12.14	$12.14	$12.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $11.45 / $555.00	Facility		$10.79	$11.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $16.85	Professional		$12.14	$12.14	$16.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $17.55	Professional		$12.14	$12.14	$17.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.60	Professional		$12.14	$12.14	$12.60