Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.61	Facility		$10.09	$10.09	$10.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.50	Professional		$10.09	$10.09	$10.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $28.00	Professional		$10.09	$10.09	$28.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $42.90	Facility		$39.00	$39.00	$42.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $33.15	Facility		$9.52	$9.52	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Professional		$10.09	$10.09	$10.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $14.28 / $332.00	Facility		$10.09	$14.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.09 / $17.42	Professional		$10.00	$10.09	$17.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.47	Facility		$10.09	$10.09	$10.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.47 / $10.47	Professional		$10.09	$10.47	$10.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $33.15 / $597.00	Facility		$9.52	$33.15	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.86	Professional		$10.09	$10.09	$12.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $15.75	Professional		$10.09	$10.09	$15.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.47 / $10.47	Professional		$10.09	$10.47	$10.47