Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $37.38 / $62.67	Facility		$20.89	$37.38	$62.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $18.69 / $22.43	Professional		$16.32	$18.69	$22.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $57.17	Facility		$21.99	$21.99	$57.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $13.30 / $49.61	Professional		$9.72	$13.30	$49.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $21.99 / $21.99	Facility		$13.19	$21.99	$21.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.99 / $21.99	Professional		$16.05	$21.99	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $44.51 / $224.65	Facility		$15.36	$44.51	$224.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $24.84 / $141.38	Professional		$16.27	$24.84	$141.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $28.59 / $332.00	Facility		$5.50	$28.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $13.19 / $40.24	Professional		$10.05	$13.19	$40.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $21.99 / $29.17	Professional		$19.38	$21.99	$29.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $53.63 / $262.47	Facility		$20.14	$53.63	$262.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $30.22 / $50.00	Professional		$17.59	$30.22	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $15.09 / $16.59	Facility		$14.29	$15.09	$16.59
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $38.90	Professional		$9.24	$13.19	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $25.29 / $80.97	Facility		$25.29	$25.29	$80.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.70 / $34.61	Professional		$19.38	$24.70	$34.61