Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $44.73 / $77.26	Facility		$23.04	$44.73	$77.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.56 / $27.11	Professional		$13.41	$13.56	$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 / $42.61	Professional		$10.84	$16.26	$42.61
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 $13.64 / $27.40 / $130.66	Professional		$13.64	$27.40	$130.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $35.24 / $332.00	Facility		$16.00	$35.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.13 / $49.61	Professional		$10.84	$16.13	$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 / $17.34 / $28.42	Professional		$10.61	$17.34	$28.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $66.41 / $254.50	Facility		$19.91	$66.41	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $25.90 / $42.02	Professional		$13.89	$25.90	$42.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.55 / $39.31	Professional		$11.39	$13.55	$39.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $31.18 / $32.56	Facility		$30.84	$31.18	$32.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $22.26 / $32.58	Professional		$14.75	$22.26	$32.58