Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $25.23 / $36.95	Facility		$16.32	$25.23	$36.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.27 / $42.82	Professional		$17.30	$26.27	$42.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $23.78 / $56.13	Professional		$18.19	$23.78	$56.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.50 / $21.50	Facility		$21.50	$21.50	$21.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $32.96	Professional		$21.50	$21.50	$32.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $14,648.00	Facility		$25.28	$25.28	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $28.32 / $69.78	Professional		$15.15	$28.32	$69.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $27.00 / $332.00	Facility		$15.24	$27.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $24.00 / $46.14	Professional		$5.00	$24.00	$46.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $23.49 / $39.15	Professional		$15.41	$23.49	$39.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $25.28 / $74,999.25	Facility		$13.05	$25.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $30.67 / $69.88	Professional		$17.30	$30.67	$69.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $29.54 / $65.62	Professional		$21.62	$29.54	$65.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $18.98 / $58.13	Facility		$18.98	$18.98	$58.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $29.33 / $48.52	Professional		$15.41	$29.33	$48.52