Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $47.67 / $85.44	Facility		$6.02	$47.67	$85.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.06 / $29.98	Professional		$1.90	$3.06	$29.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $77.95	Facility		$29.98	$29.98	$77.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $11.99 / $36.85	Professional		$1.37	$11.99	$36.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $29.98 / $29.98	Facility		$17.98	$29.98	$29.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $29.98 / $29.98	Professional		$21.89	$29.98	$29.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $60.77 / $77.87	Facility		$20.95	$60.77	$77.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $5.81 / $144.50	Professional		$1.97	$5.81	$144.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $38.97 / $332.00	Facility		$1.00	$38.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $17.69 / $54.86	Professional		$10.97	$17.69	$54.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.72 / $31.43	Professional		$2.02	$2.72	$31.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $63.34 / $254.50	Facility		$20.95	$63.34	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $5.00 / $46.47	Professional		$2.09	$5.00	$46.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.98 / $43.47	Professional		$3.50	$17.98	$43.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $34.47 / $34.47	Facility		$6.97	$34.47	$34.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.05 / $36.03	Professional		$2.31	$3.05	$36.03