Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $53.84 / $96.50	Facility		$23.70	$53.84	$96.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $22.26 / $28.78	Professional		$17.95	$22.26	$28.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $51.00 / $79.23	Facility		$33.86	$51.00	$79.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $50.78	Professional		$13.54	$13.54	$50.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Facility		$33.86	$33.86	$33.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $33.86 / $33.86	Professional		$24.72	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $71.53 / $122.27	Facility		$40.63	$71.53	$122.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $49.83 / $163.21	Professional		$27.09	$49.83	$163.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $71.11 / $332.00	Facility		$33.86	$71.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $44.70 / $73.48	Professional		$35.54	$44.70	$73.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $33.44 / $61.40	Professional		$28.78	$33.44	$61.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.13 / $82.75 / $597.00	Facility		$61.13	$82.75	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $36.90 / $77.88	Professional		$22.01	$36.90	$77.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $51.32	Professional		$14.22	$20.32	$51.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $38.94 / $38.94	Facility		$33.86	$38.94	$38.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $33.86 / $40.70	Professional		$28.78	$33.86	$40.70