Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $47.44 / $77.26	Facility		$22.16	$47.44	$77.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $23.04	Professional		$14.77	$14.77	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $70.48	Facility		$27.11	$27.11	$70.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $45.77 / $66.23	Professional		$17.91	$45.77	$66.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Facility		$27.11	$27.11	$27.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $27.11 / $27.11	Professional		$19.79	$27.11	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $55.12 / $70.64	Facility		$18.94	$55.12	$70.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $39.24 / $130.66	Professional		$31.39	$39.24	$130.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $56.93 / $332.00	Facility		$27.11	$56.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.99 / $50.70	Professional		$10.84	$15.99	$50.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.75 / $30.45	Professional		$16.98	$25.75	$30.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $57.50 / $72.65	Facility		$26.43	$57.50	$72.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $31.39 / $55.85	Professional		$17.62	$31.39	$55.85
United Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Facility		$17.62	$17.62	$17.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.91 / $39.82	Professional		$11.39	$14.91	$39.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $31.18 / $31.18	Facility		$27.11	$31.18	$31.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.11 / $32.58	Professional		$16.98	$27.11	$32.58