Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $42.76 / $76.64	Facility		$22.86	$42.76	$76.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.50 / $26.89	Professional		$12.76	$15.50	$26.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $26.89 / $69.91	Facility		$26.89	$26.89	$69.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $13.71 / $42.49	Professional		$8.36	$13.71	$42.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $26.89 / $26.89	Facility		$16.13	$26.89	$26.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $26.89 / $26.89	Professional		$19.63	$26.89	$26.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $54.41 / $184.74	Facility		$18.79	$54.41	$184.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $27.40 / $129.61	Professional		$13.22	$27.40	$129.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $34.96 / $332.00	Facility		$10.10	$34.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.13 / $49.21	Professional		$10.76	$16.13	$49.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $20.62 / $28.19	Professional		$13.90	$20.62	$28.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $65.56 / $254.50	Facility		$20.45	$65.56	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $28.82 / $42.44	Professional		$13.64	$28.82	$42.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $15.22 / $39.49	Professional		$11.29	$15.22	$39.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $30.92 / $57.22	Facility		$30.92	$30.92	$57.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $20.62 / $32.32	Professional		$13.90	$20.62	$32.32