Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $14.00 / $14.05	Facility		$11.68	$14.00	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $14.05 / $15.30	Professional		$11.68	$14.05	$15.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $65.38 / $166.07	Professional		$65.38	$65.38	$166.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.08 / $2.08	Professional		$1.66	$2.08	$2.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $555.00	Facility		$10.75	$10.75	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08