Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $31.18 / $55.89	Facility		$16.67	$31.18	$55.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.00 / $19.61	Professional		$10.70	$15.00	$19.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $19.61 / $50.99	Facility		$19.61	$19.61	$50.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.10 / $32.69	Professional		$6.88	$10.10	$32.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $19.61 / $19.61	Facility		$11.77	$19.61	$19.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $19.61 / $19.61	Professional		$14.32	$19.61	$19.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $39.57 / $154.88	Facility		$13.70	$39.57	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $19.72 / $192.38	Professional		$12.58	$19.72	$192.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $25.49 / $332.00	Facility		$11.10	$25.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.77 / $35.89	Professional		$8.96	$11.77	$35.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Facility		$14.14	$14.14	$14.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.20 / $22.02	Professional		$9.94	$16.20	$22.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $47.68 / $227.76	Facility		$19.13	$47.68	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $22.72 / $260.00	Professional		$13.44	$22.72	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.77 / $34.69	Professional		$8.24	$11.77	$34.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $39.39	Facility		$22.55	$22.55	$39.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $18.05 / $23.57	Professional		$9.65	$18.05	$23.57