Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $55.79 / $100.01	Facility		$24.56	$55.79	$100.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $23.07 / $29.83	Professional		$18.60	$23.07	$29.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $91.23	Facility		$35.09	$35.09	$91.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.10 / $52.62	Professional		$19.10	$19.10	$52.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.09 / $35.09	Professional		$25.62	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $71.36 / $91.45	Facility		$34.90	$71.36	$91.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $50.88 / $169.13	Professional		$28.07	$50.88	$169.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $73.69 / $332.00	Facility		$35.09	$73.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $46.32 / $76.15	Professional		$36.84	$46.32	$76.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $35.09 / $63.63	Professional		$29.83	$35.09	$63.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $85.98 / $123.10	Facility		$34.90	$85.98	$123.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $43.86 / $80.70	Professional		$22.81	$43.86	$80.70
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $35.09	Facility		$31.58	$31.58	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $40.35	Facility		$35.09	$40.35	$40.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $35.09 / $42.18	Professional		$29.83	$35.09	$42.18