Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $55.45 / $92.97	Facility		$28.33	$55.45	$92.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $26.10 / $42.92	Professional		$17.29	$26.10	$42.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $84.81	Facility		$32.61	$32.61	$84.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.73 / $73.61	Professional		$15.56	$19.73	$73.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $32.61 / $32.61	Facility		$19.57	$32.61	$32.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $32.61 / $32.61	Professional		$23.81	$32.61	$32.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $65.72 / $335.46	Facility		$22.79	$65.72	$335.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $46.98 / $209.32	Professional		$24.29	$46.98	$209.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $42.41 / $332.00	Facility		$16.60	$42.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $19.57 / $59.69	Professional		$14.91	$19.57	$59.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Facility		$32.61	$32.61	$32.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $32.61 / $43.28	Professional		$27.73	$32.61	$43.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $79.18 / $389.47	Facility		$29.89	$79.18	$389.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $47.41 / $79.56	Professional		$26.18	$47.41	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.94 / $47.91	Professional		$13.70	$17.94	$47.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $37.51 / $120.11	Facility		$37.51	$37.51	$120.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $36.64 / $73.08	Professional		$26.63	$36.64	$73.08