Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $43.30 / $74.78	Facility		$22.41	$43.30	$74.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $21.27 / $26.76	Professional		$17.51	$21.27	$26.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $68.22	Facility		$26.24	$26.24	$68.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.74 / $53.49	Professional		$11.25	$15.74	$53.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $26.24 / $26.24	Facility		$15.74	$26.24	$26.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $26.24 / $26.24	Professional		$19.16	$26.24	$26.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $53.00 / $242.61	Facility		$18.32	$53.00	$242.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $26.66 / $150.59	Professional		$17.57	$26.66	$150.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $36.08 / $332.00	Facility		$17.60	$36.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.74 / $48.02	Professional		$10.50	$15.74	$48.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $26.24 / $31.30	Professional		$21.31	$26.24	$31.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $63.86 / $281.56	Facility		$24.05	$63.86	$281.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $26.46 / $51.75	Professional		$18.00	$26.46	$51.75
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.74 / $39.36	Professional		$11.02	$15.74	$39.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $30.18 / $86.85	Facility		$30.18	$30.18	$86.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $27.51 / $31.54	Professional		$21.31	$27.51	$31.54