Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $41.42 / $71.54	Facility		$17.76	$41.42	$71.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $16.71 / $23.67	Professional		$14.76	$16.71	$23.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $65.26	Facility		$25.10	$25.10	$65.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $52.84 / $90.50	Professional		$15.06	$52.84	$90.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Facility		$25.10	$25.10	$25.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $50.89 / $65.20	Facility		$30.12	$50.89	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $120.98 / $120.98	Professional		$120.98	$120.98	$120.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $52.71 / $332.00	Facility		$25.10	$52.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $33.89 / $62.00	Professional		$26.36	$33.89	$62.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $23.85 / $28.19	Professional		$21.33	$23.85	$28.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $61.31 / $87.59	Facility		$30.12	$61.31	$87.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.10 / $62.69	Professional		$20.89	$25.10	$62.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.06 / $37.65	Professional		$10.54	$15.06	$37.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $28.86 / $28.86	Facility		$25.10	$28.86	$28.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $25.10 / $30.17	Professional		$21.34	$25.10	$30.17