Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $7.06 / $5,962.88	Facility		$5.71	$7.06	$5,962.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.76 / $14.15	Professional		$5.70	$5.76	$14.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $5.71	Facility		$4.57	$4.57	$5.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $8.26	Professional		$5.71	$5.71	$8.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $6.02	Facility		$5.73	$5.73	$6.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.85	Facility		$5.38	$5.38	$5.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $8.07 / $332.00	Facility		$5.38	$8.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $8.44	Professional		$5.92	$5.92	$8.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.71 / $5.82	Facility		$5.71	$5.71	$5.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.82	Professional		$5.71	$5.71	$5.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $555.00	Facility		$5.38	$5.38	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $8.86	Professional		$5.71	$5.71	$8.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $8.28	Professional		$5.71	$5.71	$8.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $5.82 / $5.82	Facility		$5.82	$5.82	$5.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.71 / $5.82	Professional		$3.69	$5.71	$5.82