Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $44.71 / $72.81	Facility		$21.72	$44.71	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.72 / $25.55	Professional		$18.55	$21.72	$25.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $66.43	Facility		$25.55	$25.55	$66.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $15.33 / $56.43	Professional		$11.93	$15.33	$56.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $25.55 / $25.55	Facility		$15.33	$25.55	$25.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $25.55 / $25.55	Professional		$18.64	$25.55	$25.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $51.58 / $257.62	Facility		$17.85	$51.58	$257.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $28.13 / $161.60	Professional		$18.64	$28.13	$161.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $35.77 / $332.00	Facility		$20.10	$35.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $15.33 / $46.76	Professional		$10.22	$15.33	$46.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.55 / $30.71	Professional		$21.72	$25.55	$30.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $62.14 / $298.56	Facility		$23.42	$62.14	$298.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $34.36 / $60.00	Professional		$19.97	$34.36	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.33 / $40.11	Professional		$10.73	$15.33	$40.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $92.12	Facility		$29.38	$29.38	$92.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $27.57 / $33.19	Professional		$22.04	$27.57	$33.19