Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $57.54	Facility		$19.05	$35.48	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $28.18	Professional		$14.13	$15.85	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $48.98	Facility		$19.05	$19.05	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $44.67	Professional		$9.33	$9.55	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $19.05	Facility		$11.22	$19.05	$19.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $19.05	Professional		$13.80	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $48.98 / $204.17	Facility		$14.45	$48.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $100.00	Professional		$12.30	$26.92	$100.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.88 / $52.48	Facility		$8.51	$21.88	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $36.31	Professional		$8.91	$13.18	$36.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $25.12	Professional		$16.60	$19.05	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $35.48 / $50,118.72	Facility		$23.44	$35.48	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $22.91	Facility		$11.22	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $28.84	Professional		$7.94	$11.22	$28.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $45.71	Facility		$16.22	$19.05	$45.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $53.70	Professional		$16.22	$19.95	$53.70