Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $39.75 / $71.25	Facility		$17.50	$39.75	$71.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.00 / $21.25	Professional		$13.25	$15.00	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $28.92 / $65.52	Professional		$25.16	$28.92	$65.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $25.00 / $25.00	Professional		$18.25	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $50.89 / $65.20	Facility		$30.00	$50.89	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $36.19 / $120.50	Professional		$14.63	$36.19	$120.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $52.50 / $332.00	Facility		$25.00	$52.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $32.75 / $54.25	Professional		$26.25	$32.75	$54.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $24.69 / $45.33	Professional		$21.25	$24.69	$45.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $61.31 / $87.59	Facility		$30.47	$61.31	$87.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $27.25 / $57.50	Professional		$16.25	$27.25	$57.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $37.51	Professional		$10.50	$15.00	$37.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $28.75 / $28.75	Facility		$25.00	$28.75	$28.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $25.00 / $30.05	Professional		$21.25	$25.00	$30.05