Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $38.51 / $64.55	Facility		$21.52	$38.51	$64.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.25 / $22.65	Professional		$16.80	$19.25	$22.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $58.89	Facility		$22.65	$22.65	$58.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.70 / $51.11	Professional		$10.02	$13.70	$51.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $22.65 / $22.65	Facility		$13.59	$22.65	$22.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $22.65 / $22.65	Professional		$16.53	$22.65	$22.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $45.93 / $233.67	Facility		$15.83	$45.93	$233.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $25.57 / $109.17	Professional		$16.92	$25.57	$109.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $33.97 / $332.00	Facility		$21.10	$33.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $13.59 / $41.45	Professional		$10.35	$13.59	$41.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $22.65	Facility		$22.65	$22.65	$22.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $22.65 / $30.07	Professional		$19.96	$22.65	$30.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $55.34 / $270.49	Facility		$20.76	$55.34	$270.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.13 / $49.64	Professional		$17.98	$31.13	$49.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.59 / $37.02	Professional		$9.51	$13.59	$37.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $26.05 / $83.45	Facility		$26.05	$26.05	$83.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $25.44 / $31.94	Professional		$19.96	$25.44	$31.94