Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $36.65 / $68.06	Facility		$17.80	$36.65	$68.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $16.98 / $31.41	Professional		$13.98	$16.98	$31.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $20.94 / $54.44	Facility		$20.94	$20.94	$54.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.76 / $42.69	Professional		$8.98	$11.76	$42.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $20.94 / $20.94	Facility		$12.56	$20.94	$20.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $20.94 / $20.94	Professional		$15.29	$20.94	$20.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $44.23 / $194.71	Facility		$14.63	$44.23	$194.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $21.19 / $100.93	Professional		$14.10	$21.19	$100.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.32 / $332.00	Facility		$16.60	$29.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.56 / $38.32	Professional		$9.57	$12.56	$38.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $20.94 / $20.94	Facility		$20.94	$20.94	$20.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $20.94 / $26.30	Professional		$17.52	$20.94	$26.30
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 $15.02 / $22.21 / $41.19	Professional		$15.02	$22.21	$41.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $12.56 / $30.76	Professional		$8.78	$12.56	$30.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $24.08 / $69.36	Facility		$24.08	$24.08	$69.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $22.21 / $27.01	Professional		$17.01	$22.21	$27.01