Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $19.57 / $24.00	Facility		$14.00	$19.57	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $19.57 / $24.00	Professional		$14.00	$19.57	$24.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $447.93	Professional		$189.00	$189.00	$447.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.33 / $3.33	Professional		$2.66	$3.33	$3.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Facility		$3.33	$3.33	$3.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $555.00	Facility		$23.72	$23.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
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 $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33