Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $22.32 / $29.64	Professional		$15.71	$22.32	$29.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $27.48 / $49.46	Professional		$13.97	$27.48	$49.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $45.10 / $45.10	Facility		$45.10	$45.10	$45.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $45.10 / $45.10	Professional		$45.10	$45.10	$45.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $95.48	Facility		$29.38	$29.38	$95.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $123.15 / $123.15	Professional		$37.85	$123.15	$123.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $45.13 / $45.13	Professional		$45.13	$45.13	$45.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Facility		$24.45	$24.45	$24.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $25.86 / $46.34	Professional		$24.20	$25.86	$46.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $555.00 / $597.00	Facility		$29.38	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $123.15 / $123.15	Professional		$37.85	$123.15	$123.15
United Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $33.78 / $72.41	Professional		$24.40	$33.78	$72.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Facility		$24.45	$24.45	$24.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $46.34	Professional		$24.20	$24.20	$46.34