Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $81.28	Facility		$26.92	$48.98	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $32.36	Professional		$12.88	$20.89	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $70.79	Facility		$26.92	$26.92	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $43.65	Professional		$10.96	$10.96	$43.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.92 / $26.92	Facility		$16.22	$26.92	$26.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $26.92	Professional		$19.95	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $57.54 / $77.62	Facility		$18.20	$57.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $131.83	Professional		$13.49	$32.36	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $30.90 / $74.13	Facility		$15.85	$30.90	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $52.48	Professional		$10.96	$16.22	$52.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $28.18	Professional		$10.72	$19.50	$28.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $50,118.72	Facility		$21.88	$51.29	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $32.36	Facility		$12.30	$24.55	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $40.74	Professional		$11.48	$14.79	$40.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $30.90	Facility		$10.72	$12.59	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.91 / $32.36	Professional		$10.72	$22.91	$32.36