Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $56.00 / $96.73	Facility		$29.48	$56.00	$96.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.85 / $34.61	Professional		$25.20	$28.85	$34.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $33.94 / $88.24	Facility		$33.94	$33.94	$88.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $20.36 / $74.88	Professional		$16.19	$20.36	$74.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $33.94 / $33.94	Facility		$20.36	$33.94	$33.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $33.94 / $33.94	Professional		$24.78	$33.94	$33.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $68.53 / $347.43	Facility		$23.72	$68.53	$347.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $37.99 / $203.83	Professional		$25.16	$37.99	$203.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $47.52 / $332.00	Facility		$24.00	$47.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $20.20 / $62.11	Professional		$13.58	$20.20	$62.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $30.58 / $40.79	Professional		$12.06	$30.58	$40.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $82.57 / $405.34	Facility		$31.10	$82.57	$405.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $44.96 / $70.95	Professional		$27.08	$44.96	$70.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $53.28	Professional		$14.25	$20.36	$53.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $39.03 / $111.52	Facility		$39.03	$39.03	$111.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.04 / $41.62	Professional		$25.60	$35.04	$41.62