Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $36.86 / $60.05	Facility		$20.02	$36.86	$60.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $16.30 / $21.07	Professional		$11.17	$16.30	$21.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $54.78	Facility		$21.07	$21.07	$54.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.74 / $47.55	Professional		$10.05	$12.74	$47.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $21.07 / $21.07	Facility		$12.64	$21.07	$21.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.07 / $21.07	Professional		$15.38	$21.07	$21.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $44.53 / $215.63	Facility		$14.72	$44.53	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $23.74 / $135.87	Professional		$15.62	$23.74	$135.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $29.50 / $332.00	Facility		$15.10	$29.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $12.64 / $38.56	Professional		$9.63	$12.64	$38.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Facility		$21.07	$21.07	$21.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.07 / $27.96	Professional		$18.55	$21.07	$27.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.07 / $254.50	Facility		$19.91	$51.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.74 / $43.40	Professional		$16.80	$23.74	$43.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.64 / $34.54	Professional		$8.85	$12.64	$34.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $24.23 / $77.62	Facility		$24.23	$24.23	$77.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.66 / $29.67	Professional		$18.55	$23.66	$29.67