Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.72 / $21.38	Facility		$7.59	$10.72	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $8.91	Professional		$7.08	$7.08	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.94	Facility		$7.59	$7.59	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.31	Facility		$5.75	$5.75	$6.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $64.57 / $50,118.72	Facility		$6.76	$64.57	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $35.48	Professional		$6.76	$6.76	$35.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.51 / $16.22	Facility		$6.76	$8.51	$16.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $13.80	Professional		$5.75	$6.76	$13.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.08 / $7.41	Facility		$6.76	$7.08	$7.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $7.08	Professional		$6.76	$7.08	$7.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $50,118.72 / $75,857.76	Facility		$9.77	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.41 / $7.41	Facility		$7.08	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.96	Professional		$7.59	$7.59	$10.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.08 / $7.76	Facility		$6.76	$7.08	$7.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $8.51	Professional		$6.76	$7.08	$8.51