Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $32.97 / $55.29	Facility		$18.43	$32.97	$55.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $16.48 / $19.39	Professional		$14.40	$16.48	$19.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $50.44	Facility		$19.39	$19.39	$50.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $11.73 / $43.78	Professional		$9.26	$11.73	$43.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $19.39 / $19.39	Facility		$11.64	$19.39	$19.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $19.39 / $19.39	Professional		$14.16	$19.39	$19.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $39.57 / $200.70	Facility		$13.56	$39.57	$200.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.92 / $124.85	Professional		$14.53	$21.92	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $26.86 / $332.00	Facility		$13.10	$26.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.64 / $35.50	Professional		$7.76	$11.64	$35.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.39 / $25.75	Professional		$16.48	$19.39	$25.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $47.68 / $254.50	Facility		$18.92	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.92 / $39.96	Professional		$15.42	$21.92	$39.96
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.64 / $29.40	Professional		$8.15	$11.64	$29.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $71.48	Facility		$22.31	$22.31	$71.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.69 / $27.11	Professional		$17.10	$21.69	$27.11