Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.62 / $39.81	Facility		$14.13	$18.62	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Facility		$14.13	$14.13	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Facility		$12.88	$12.88	$13.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $20.89	Facility		$13.49	$13.49	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $47.86	Facility		$13.49	$17.38	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Professional		$14.13	$14.13	$18.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $50,118.72 / $75,857.76	Facility		$18.20	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $16.98	Professional		$13.49	$14.13	$16.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.60	Facility		$14.45	$14.45	$16.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45