Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $14.09 / $23.10	Facility		$11.54	$14.09	$23.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.65 / $15.84	Professional		$11.54	$11.65	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $11.54	Facility		$9.23	$9.23	$11.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.54 / $20.78	Professional		$11.42	$11.54	$20.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.80	Facility		$11.24	$11.24	$11.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Professional		$11.24	$11.24	$11.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $11.95	Facility		$10.88	$10.88	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $16.32 / $332.00	Facility		$10.88	$16.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $14.91	Professional		$11.97	$11.97	$14.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $11.97	Facility		$11.54	$11.54	$11.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.97	Professional		$11.54	$11.54	$11.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $555.00	Facility		$10.88	$10.88	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $16.72	Professional		$11.54	$11.54	$16.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $17.02	Professional		$11.54	$11.54	$17.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $11.54 / $11.97	Professional		$10.03	$11.54	$11.97