Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $72.44	Facility		$24.55	$45.71	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $36.31	Professional		$18.20	$19.95	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $63.10	Facility		$24.55	$24.55	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.30 / $57.54	Professional		$12.02	$12.30	$57.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $24.55	Facility		$14.45	$24.55	$24.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $24.55	Professional		$17.78	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $52.48 / $263.03	Facility		$18.62	$52.48	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $117.49	Professional		$15.85	$35.48	$117.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $87.10	Facility		$25.12	$32.36	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $46.77	Professional		$11.48	$16.98	$46.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.55 / $34.67	Professional		$21.38	$24.55	$34.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $50,118.72	Facility		$30.20	$45.71	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.88 / $30.20	Facility		$14.45	$21.88	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $37.15	Professional		$10.23	$14.45	$37.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $58.88	Facility		$20.42	$24.55	$58.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $77.62	Professional		$20.42	$25.70	$77.62