Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.68 / $22.86	Facility		$10.39	$12.68	$22.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.16	Professional		$10.39	$10.39	$12.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $10.39	Facility		$8.31	$8.31	$10.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $14.07	Professional		$10.39	$10.39	$14.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $10.93	Facility		$10.41	$10.41	$10.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $10.41	Professional		$10.41	$10.41	$10.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.71 / $85.00	Facility		$9.80	$10.71	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $11.27	Professional		$10.39	$10.39	$11.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $16.17 / $332.00	Facility		$11.27	$16.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.27 / $12.68	Professional		$10.78	$11.27	$12.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.78	Facility		$10.39	$10.39	$10.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.78 / $10.78	Professional		$10.39	$10.78	$10.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $11.03 / $85.00	Facility		$9.80	$11.03	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.25	Professional		$10.39	$10.39	$12.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.91 / $13.92	Professional		$10.39	$10.91	$13.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.78 / $10.78	Professional		$10.39	$10.78	$10.78