Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.49 / $12.62	Facility		$12.38	$12.49	$12.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.99	Professional		$12.49	$12.49	$12.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $19.39	Professional		$12.49	$12.49	$19.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $10.66 / $10.66	Facility		$10.66	$10.66	$10.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $10.66	Professional		$10.66	$10.66	$10.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $11.78 / $85.00	Facility		$10.28	$11.78	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.68	Professional		$12.49	$12.49	$15.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $17.67 / $332.00	Facility		$12.49	$17.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.85	Professional		$12.49	$12.49	$14.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.96	Facility		$12.49	$12.49	$12.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.96 / $12.96	Professional		$12.49	$12.96	$12.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $12.49 / $597.00	Facility		$10.28	$12.49	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.68	Professional		$12.49	$12.49	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $18.05	Professional		$12.49	$12.49	$18.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $12.96 / $12.96	Facility		$4.59	$12.96	$12.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.96 / $12.96	Professional		$12.49	$12.96	$12.96