Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.31 / $12.88	Facility		$4.79	$6.31	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $28.84	Professional		$3.98	$3.98	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $5.01	Facility		$4.79	$4.79	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $17.38	Facility		$15.85	$15.85	$17.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $85.11	Facility		$4.47	$4.47	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $208.93	Professional		$4.79	$4.79	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $4.47 / $12.59	Facility		$3.47	$4.47	$12.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.76	Professional		$3.98	$3.98	$6.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.76	Facility		$5.75	$5.75	$6.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.76	Professional		$5.75	$5.75	$6.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $50,118.72 / $75,857.76	Facility		$7.76	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $8.91	Professional		$4.79	$4.79	$8.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.92	Facility		$5.75	$5.75	$6.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $6.92	Professional		$5.75	$6.76	$6.92