Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $43.10 / $77.26	Facility		$23.04	$43.10	$77.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $17.82 / $23.04	Professional		$13.48	$17.82	$23.04
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 / $49.56	Professional		$10.84	$16.26	$49.56
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 / $26.09 / $130.66	Professional		$15.18	$26.09	$130.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $37.95 / $332.00	Facility		$22.89	$37.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.27 / $49.61	Professional		$10.84	$16.27	$49.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Facility		$16.43	$16.43	$16.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $23.04 / $30.45	Professional		$16.43	$23.04	$30.45
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 $17.62 / $25.90 / $42.02	Professional		$17.62	$25.90	$42.02
United Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $24.40 / $27.11	Facility		$24.40	$24.40	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.91 / $41.09	Professional		$11.39	$14.91	$41.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $31.18 / $37.95	Facility		$31.18	$31.18	$37.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.75 / $32.58	Professional		$16.98	$25.75	$32.58