Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.15 / $21.56	Facility		$10.76	$13.15	$21.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $13.04	Professional		$10.76	$10.76	$13.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $10.76	Facility		$8.61	$8.61	$10.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $10.76 / $11.91	Professional		$9.68	$10.76	$11.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $9.14 / $9.60	Facility		$9.14	$9.14	$9.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Professional		$9.14	$9.14	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $10.15 / $10.76	Facility		$9.66	$10.15	$10.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $15.23 / $332.00	Facility		$10.15	$15.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $16.26	Professional		$11.67	$11.67	$16.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $11.16	Facility		$10.76	$10.76	$11.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $11.16	Professional		$10.76	$10.76	$11.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $10.15 / $555.00	Facility		$9.66	$10.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.76 / $14.04	Professional		$10.47	$10.76	$14.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $15.34	Professional		$10.76	$10.76	$15.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Facility		$11.16	$11.16	$11.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.76 / $11.16	Professional		$7.96	$10.76	$11.16