Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $29.07 / $29.27	Facility		$19.09	$29.07	$29.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.66 / $31.08	Professional		$17.71	$24.66	$31.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $25.23 / $40.28	Professional		$20.54	$25.23	$40.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $35.04 / $8,917.50	Facility		$35.04	$35.04	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $35.04 / $35.04	Professional		$35.04	$35.04	$35.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $112.26 / $112.26	Professional		$22.10	$112.26	$112.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Professional		$29.74	$29.74	$29.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $22.27	Facility		$22.27	$22.27	$22.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $34.68 / $54.75	Professional		$22.27	$34.68	$54.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $555.00 / $74,999.25	Facility		$29.08	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $112.26 / $112.26	Professional		$22.10	$112.26	$112.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.31 / $60.86	Professional		$21.74	$29.31	$60.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $24.83 / $24.83	Facility		$22.27	$24.83	$24.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $24.83 / $54.75	Professional		$24.83	$24.83	$54.75