Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $61.33 / $108.00	Facility		$27.00	$61.33	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $22.29 / $38.57	Professional		$20.05	$22.29	$38.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $100.28	Facility		$38.57	$38.57	$100.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $17.12 / $62.02	Professional		$15.43	$17.12	$62.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $38.57 / $38.57	Facility		$23.14	$38.57	$38.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.57 / $38.57	Professional		$28.16	$38.57	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $78.44 / $100.51	Facility		$26.95	$78.44	$100.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $36.95 / $185.91	Professional		$21.60	$36.95	$185.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $54.00 / $332.00	Facility		$32.57	$54.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $23.14 / $70.58	Professional		$15.43	$23.14	$70.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $23.37 / $23.37	Facility		$23.37	$23.37	$23.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $32.78 / $43.32	Professional		$23.37	$32.78	$43.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $94.50 / $254.50	Facility		$26.95	$94.50	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $36.85 / $59.78	Professional		$25.07	$36.85	$59.78
United Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $34.71 / $38.57	Facility		$34.71	$34.71	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $21.21 / $56.65	Professional		$16.20	$21.21	$56.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $44.35 / $53.99	Facility		$44.35	$44.35	$53.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $36.64 / $46.36	Professional		$24.16	$36.64	$46.36