Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $21.23 / $46.72	Facility		$13.46	$21.23	$46.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $17.07 / $26.62	Professional		$10.99	$17.07	$26.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.81 / $39.97	Professional		$10.56	$13.81	$39.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $21.60	Professional		$17.30	$17.30	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $20.55 / $3,479.91	Facility		$20.55	$20.55	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $25.53 / $55.14	Professional		$13.10	$25.53	$55.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $29.00 / $332.00	Facility		$13.89	$29.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $22.25 / $41.97	Professional		$17.05	$22.25	$41.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $17.69 / $27.85	Professional		$11.46	$17.69	$27.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $555.00 / $3,479.91	Facility		$20.55	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $25.76 / $58.51	Professional		$15.41	$25.76	$58.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $22.49 / $45.96	Professional		$15.57	$22.49	$45.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $44.95	Facility		$13.69	$13.69	$44.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $17.69 / $30.49	Professional		$11.46	$17.69	$30.49