Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $81.28	Facility		$22.91	$51.29	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.70	Professional		$14.13	$19.95	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $70.79	Facility		$26.92	$26.92	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $69.18	Professional		$25.70	$45.71	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $26.92	Professional		$19.95	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $57.54 / $70.79	Facility		$17.78	$57.54	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $131.83 / $131.83	Professional		$31.62	$131.83	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $104.71	Facility		$26.92	$44.67	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $52.48	Professional		$12.88	$16.22	$52.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $30.20	Professional		$16.98	$26.92	$30.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $50,118.72	Facility		$35.48	$51.29	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $32.36	Facility		$16.22	$24.55	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $40.74	Professional		$11.48	$15.49	$40.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.92 / $30.90	Facility		$16.22	$26.92	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $30.90	Professional		$16.60	$26.92	$30.90