Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.27 / $10.67	Facility		$10.16	$10.27	$10.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.27 / $11.79	Professional		$10.26	$10.27	$11.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $10.27	Facility		$8.22	$8.22	$10.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.27 / $10.27	Professional		$10.06	$10.27	$10.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $26.90	Facility		$24.45	$24.45	$26.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $26.46	Facility		$9.69	$9.69	$26.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $14.54 / $332.00	Facility		$9.69	$14.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $15.90	Professional		$11.14	$11.14	$15.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.27 / $10.27	Facility		$5.25	$10.27	$10.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.27 / $10.27	Professional		$5.25	$10.27	$10.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $555.00	Facility		$9.69	$9.69	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $14.89	Professional		$10.27	$10.27	$14.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $15.41	Professional		$10.27	$10.27	$15.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $10.27	Professional		$5.25	$5.25	$10.27