Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $51.12 / $90.10	Facility		$25.09	$51.12	$90.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.93 / $30.98	Professional		$23.00	$26.93	$30.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $80.55	Facility		$30.98	$30.98	$80.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $18.73 / $69.92	Professional		$14.78	$18.73	$69.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $30.98 / $30.98	Facility		$18.59	$30.98	$30.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.98 / $30.98	Professional		$22.62	$30.98	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $62.89 / $317.49	Facility		$21.65	$62.89	$317.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $34.70 / $198.31	Professional		$22.99	$34.70	$198.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $45.15 / $332.00	Facility		$26.10	$45.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $18.59 / $56.69	Professional		$12.39	$18.59	$56.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $30.98 / $41.12	Professional		$26.33	$30.98	$41.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $75.77 / $369.91	Facility		$28.40	$75.77	$369.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $27.09 / $63.82	Professional		$4.50	$27.09	$63.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $17.04 / $46.47	Professional		$12.60	$17.04	$46.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $35.63 / $114.10	Facility		$35.63	$35.63	$114.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $34.61 / $41.37	Professional		$27.30	$34.61	$41.37