Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $47.03 / $81.23	Facility		$24.23	$47.03	$81.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $23.72 / $28.50	Professional		$6.49	$23.72	$28.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $74.09	Facility		$28.50	$28.50	$74.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $12.99 / $38.15	Professional		$4.83	$12.99	$38.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $28.50 / $28.50	Facility		$17.10	$28.50	$28.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $28.50	Professional		$20.81	$28.50	$28.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $57.94 / $99.42	Facility		$19.91	$57.94	$99.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $29.59 / $170.78	Professional		$19.52	$29.59	$170.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $38.44 / $332.00	Facility		$19.10	$38.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $16.96 / $52.16	Professional		$11.56	$16.96	$52.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $11.56 / $11.56	Facility		$11.56	$11.56	$11.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $25.26 / $34.90	Professional		$11.56	$25.26	$34.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $69.81 / $254.50	Facility		$26.13	$69.81	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $22.89 / $75.00	Professional		$15.28	$22.89	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $13.68 / $41.86	Professional		$10.09	$13.68	$41.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $32.77 / $96.90	Facility		$32.77	$32.77	$96.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $29.88 / $36.36	Professional		$21.47	$29.88	$36.36