Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $48.84 / $84.36	Facility		$22.95	$48.84	$84.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $21.63 / $25.16	Professional		$17.43	$21.63	$25.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $76.95	Facility		$29.60	$29.60	$76.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $45.72	Professional		$14.62	$14.62	$45.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $29.60 / $29.60	Professional		$21.61	$29.60	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $60.06 / $76.95	Facility		$35.52	$60.06	$76.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $43.53 / $142.66	Professional		$19.23	$43.53	$142.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $62.16 / $332.00	Facility		$29.60	$62.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $39.07 / $64.23	Professional		$31.08	$39.07	$64.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $29.60 / $53.67	Professional		$25.16	$29.60	$53.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $72.36 / $102.97	Facility		$36.27	$72.36	$102.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.26 / $74.03	Professional		$21.38	$32.26	$74.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $45.88	Professional		$12.43	$17.76	$45.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $34.04 / $34.04	Facility		$29.60	$34.04	$34.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $29.60 / $35.58	Professional		$25.16	$29.60	$35.58