Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $51.24 / $88.27	Facility		$23.46	$51.24	$88.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $25.46 / $50.92	Professional		$19.03	$25.46	$50.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $76.13	Facility		$29.28	$29.28	$76.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $17.71 / $66.06	Professional		$13.96	$17.71	$66.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $29.28 / $29.28	Facility		$17.57	$29.28	$29.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $29.28 / $29.28	Professional		$21.37	$29.28	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $59.36 / $299.52	Facility		$20.46	$59.36	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $32.86 / $187.30	Professional		$21.69	$32.86	$187.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $43.92 / $332.00	Facility		$26.10	$43.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $17.43 / $53.58	Professional		$13.38	$17.43	$53.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $27.82 / $38.86	Professional		$15.15	$27.82	$38.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $71.52 / $349.55	Facility		$26.83	$71.52	$349.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $40.24 / $60.32	Professional		$23.33	$40.24	$60.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $43.92	Professional		$12.30	$17.57	$43.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $107.85	Facility		$33.67	$33.67	$107.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $31.67 / $41.37	Professional		$23.90	$31.67	$41.37