Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $43.86 / $73.53	Facility		$24.51	$43.86	$73.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.93 / $25.80	Professional		$19.14	$21.93	$25.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $67.08	Facility		$25.80	$25.80	$67.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $15.60 / $58.22	Professional		$12.31	$15.60	$58.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $25.80 / $25.80	Facility		$15.48	$25.80	$25.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $25.80 / $25.80	Professional		$18.82	$25.80	$25.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $52.29 / $263.61	Facility		$18.03	$52.29	$263.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $28.86 / $165.26	Professional		$19.09	$28.86	$165.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $33.54 / $332.00	Facility		$12.10	$33.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $15.48 / $47.21	Professional		$10.32	$15.48	$47.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $25.80 / $34.25	Professional		$21.93	$25.80	$34.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $63.00 / $308.07	Facility		$23.65	$63.00	$308.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $22.65 / $53.15	Professional		$13.50	$22.65	$53.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $14.80 / $38.70	Professional		$9.13	$14.80	$38.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $29.67 / $95.04	Facility		$29.67	$29.67	$95.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $28.84 / $35.90	Professional		$22.73	$28.84	$35.90