Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $9.36 / $22.08	Facility		$4.95	$9.36	$22.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $82.78 / $82.78	Professional		$4.21	$82.78	$82.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $12.87	Facility		$4.95	$4.95	$12.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.52 / $7.77	Professional		$2.44	$2.52	$7.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.95 / $4.95	Professional		$3.61	$4.95	$4.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $2.62 / $58.30	Facility		$2.62	$2.62	$58.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $6.56 / $61.14	Professional		$3.22	$6.56	$61.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $10.40 / $332.00	Facility		$4.95	$10.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.92 / $9.26	Professional		$1.98	$2.92	$9.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.95 / $7.34	Professional		$3.44	$4.95	$7.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $555.00 / $74,999.25	Facility		$58.30	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $4.58 / $10.19	Professional		$3.97	$4.58	$10.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.97 / $7.27	Professional		$2.08	$2.97	$7.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.31 / $5.31	Facility		$5.31	$5.31	$5.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.95 / $5.80	Professional		$3.44	$4.95	$5.80