Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $40.74 / $64.57	Facility		$21.38	$40.74	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $31.62	Professional		$15.14	$18.20	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $56.23	Facility		$21.38	$21.38	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $51.29	Professional		$10.72	$10.96	$51.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.38 / $21.38	Facility		$12.88	$21.38	$21.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $21.38	Professional		$15.85	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $45.71 / $234.42	Facility		$16.22	$45.71	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $104.71	Professional		$14.13	$30.20	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $69.18	Facility		$16.98	$27.54	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $41.69	Professional		$10.00	$15.14	$41.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $30.20	Professional		$19.05	$21.38	$30.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $50,118.72	Facility		$26.92	$40.74	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $25.70	Facility		$12.88	$19.50	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $32.36	Professional		$9.12	$12.88	$32.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $52.48	Facility		$18.20	$21.38	$52.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $67.61	Professional		$18.20	$22.39	$67.61