Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.65 / $10.90	Facility		$4.69	$6.65	$10.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.74 / $229.65	Professional		$4.69	$4.74	$229.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $4.69	Facility		$3.75	$3.75	$4.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $8.80	Professional		$4.69	$4.69	$8.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $19.82	Facility		$18.03	$18.03	$19.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.03 / $18.03	Professional		$18.03	$18.03	$18.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $19.51	Facility		$4.43	$4.43	$19.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $6.65 / $332.00	Facility		$4.43	$6.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $12.32	Professional		$5.09	$5.09	$12.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $7.57	Facility		$4.69	$4.69	$7.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $7.57	Professional		$4.69	$4.69	$7.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $555.00	Facility		$4.43	$4.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $11.47	Professional		$4.69	$4.69	$11.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $8.44	Professional		$4.69	$4.69	$8.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Facility		$7.57	$7.57	$7.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $7.57	Professional		$4.69	$4.69	$7.57