Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $22.04 / $24.63	Facility		$14.32	$22.04	$24.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $22.04 / $28.67	Professional		$14.32	$22.04	$28.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $13.68 / $28.86	Professional		$11.01	$13.68	$28.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $23.50	Facility		$23.50	$23.50	$23.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $23.50	Professional		$23.50	$23.50	$23.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $14,648.00	Facility		$40.54	$40.54	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $169.95 / $169.95	Professional		$48.50	$169.95	$169.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $106.81 / $332.00	Facility		$45.47	$106.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $54.51 / $85.50	Professional		$40.61	$54.51	$85.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $58.54 / $88.79	Professional		$12.61	$58.54	$88.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $597.00	Facility		$40.54	$40.54	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $22.91	Professional		$11.00	$11.00	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $18.60 / $52.94	Professional		$2.86	$18.60	$52.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $37.89 / $37.89	Facility		$14.04	$37.89	$37.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $37.89 / $83.55	Professional		$37.89	$37.89	$83.55