Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $44.73 / $77.26	Facility		$21.96	$44.73	$77.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.03 / $27.11	Professional		$14.37	$15.03	$27.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $70.48	Facility		$27.11	$27.11	$70.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.26 / $47.20	Professional		$10.84	$16.26	$47.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $27.11 / $27.11	Facility		$16.27	$27.11	$27.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $27.11 / $27.11	Professional		$19.79	$27.11	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $55.12 / $70.64	Facility		$18.94	$55.12	$70.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $31.39 / $130.66	Professional		$15.18	$31.39	$130.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $37.44 / $332.00	Facility		$21.64	$37.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.99 / $49.61	Professional		$10.61	$15.99	$49.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $22.89 / $29.66	Professional		$10.61	$22.89	$29.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $57.50 / $254.50	Facility		$19.91	$57.50	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $20.32 / $55.85	Professional		$17.62	$20.32	$55.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.91 / $39.82	Professional		$11.39	$14.91	$39.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $31.18 / $37.92	Facility		$31.18	$31.18	$37.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $25.75 / $32.58	Professional		$16.43	$25.75	$32.58