Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $53.84 / $96.50	Facility		$28.78	$53.84	$96.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $22.39 / $33.86	Professional		$10.77	$22.39	$33.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $88.04	Facility		$33.86	$33.86	$88.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $14.67 / $47.54	Professional		$8.01	$14.67	$47.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $33.86 / $33.86	Facility		$20.32	$33.86	$33.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $33.86 / $33.86	Professional		$24.72	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $68.53 / $155.99	Facility		$28.83	$68.53	$155.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $34.34 / $163.21	Professional		$19.77	$34.34	$163.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $44.02 / $332.00	Facility		$16.00	$44.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $20.32 / $61.96	Professional		$13.54	$20.32	$61.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $29.48 / $38.03	Professional		$22.42	$29.48	$38.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $82.57 / $254.50	Facility		$29.52	$82.57	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $26.25 / $69.75	Professional		$20.28	$26.25	$69.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.59 / $52.48	Professional		$12.26	$16.59	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $70.93	Facility		$38.94	$38.94	$70.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $32.17 / $40.70	Professional		$22.42	$32.17	$40.70