Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $63.10	Facility		$20.89	$39.81	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $36.31	Professional		$15.14	$16.98	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $54.95	Facility		$20.89	$20.89	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.72 / $50.12	Professional		$10.47	$10.72	$50.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $20.89	Facility		$12.59	$20.89	$20.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $20.89	Professional		$15.49	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $50.12 / $229.09	Facility		$15.85	$50.12	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.20 / $141.25	Professional		$13.80	$30.20	$141.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $61.66	Facility		$15.14	$25.12	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $40.74	Professional		$10.00	$14.79	$40.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $29.51	Professional		$18.62	$20.89	$29.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $39.81 / $50,118.72	Facility		$26.30	$39.81	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $26.30	Facility		$12.59	$19.05	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $31.62	Professional		$8.91	$12.59	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $51.29	Facility		$17.78	$20.89	$51.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $67.61	Professional		$17.78	$21.88	$67.61