Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.88 / $54.95	Facility		$15.49	$33.88	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $16.98	Professional		$8.91	$12.88	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $46.77	Facility		$18.20	$18.20	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $13.80	Professional		$2.09	$2.09	$13.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $18.20	Professional		$13.18	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.90 / $46.77	Facility		$12.02	$38.90	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $87.10 / $87.10	Professional		$20.42	$87.10	$87.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $29.51 / $69.18	Facility		$18.20	$29.51	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $35.48	Professional		$8.51	$10.96	$35.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $20.42	Professional		$11.22	$18.20	$20.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $50,118.72	Facility		$23.44	$33.88	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $21.88	Facility		$10.96	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $26.92	Professional		$7.59	$10.96	$26.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.20 / $20.89	Facility		$10.96	$18.20	$20.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $20.89	Professional		$10.96	$18.20	$20.89