Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $49.01 / $82.17	Facility		$27.39	$49.01	$82.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $25.05 / $28.83	Professional		$21.41	$25.05	$28.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $74.95	Facility		$28.83	$28.83	$74.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.44 / $65.08	Professional		$13.76	$17.44	$65.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $28.83 / $28.83	Facility		$17.30	$28.83	$28.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.83 / $28.83	Professional		$21.05	$28.83	$28.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $58.65 / $296.50	Facility		$20.14	$58.65	$296.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $32.51 / $185.46	Professional		$21.47	$32.51	$185.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $37.47 / $332.00	Facility		$17.60	$37.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.30 / $52.76	Professional		$13.18	$17.30	$52.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Facility		$28.83	$28.83	$28.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $28.83 / $37.19	Professional		$25.41	$28.83	$37.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $70.66 / $344.32	Facility		$26.42	$70.66	$344.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $39.63 / $59.39	Professional		$22.93	$39.63	$59.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.30 / $42.34	Professional		$12.11	$17.30	$42.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $106.21	Facility		$33.15	$33.15	$106.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $31.19 / $38.28	Professional		$25.41	$31.19	$38.28