Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $67.61 / $114.82	Facility		$33.11	$67.61	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.84 / $45.71	Professional		$10.00	$28.84	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $100.00	Facility		$38.90	$38.90	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $56.23	Professional		$15.49	$15.49	$56.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.90 / $38.90	Facility		$22.91	$38.90	$38.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $38.90	Professional		$28.18	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $83.18 / $112.20	Facility		$25.12	$83.18	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $44.67 / $186.21	Professional		$10.72	$44.67	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.90 / $87.10	Facility		$12.02	$38.90	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $74.13	Professional		$15.85	$22.91	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $40.74	Professional		$12.02	$21.38	$40.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $72.44 / $50,118.72	Facility		$16.98	$72.44	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $34.67 / $46.77	Facility		$10.23	$34.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $57.54	Professional		$12.02	$19.50	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $33.11 / $44.67	Facility		$7.08	$33.11	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.11 / $46.77	Professional		$12.88	$33.11	$46.77