Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $56.41 / $97.44	Facility		$29.06	$56.41	$97.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $23.05 / $34.19	Professional		$19.11	$23.05	$34.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $88.89	Facility		$34.19	$34.19	$88.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $20.68 / $62.73	Professional		$14.02	$20.68	$62.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $34.19 / $34.19	Facility		$20.51	$34.19	$34.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $34.19 / $34.19	Professional		$24.96	$34.19	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $69.25 / $88.73	Facility		$23.89	$69.25	$88.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $32.90 / $164.80	Professional		$19.17	$32.90	$164.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $62.57 / $332.00	Facility		$34.19	$62.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.34 / $63.94	Professional		$13.68	$20.34	$63.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $32.47 / $38.40	Professional		$21.96	$32.47	$38.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $72.59 / $254.50	Facility		$23.89	$72.59	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $26.30 / $52.99	Professional		$22.65	$26.30	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $19.72 / $51.29	Professional		$14.36	$19.72	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $39.32 / $45.41	Facility		$39.32	$39.32	$45.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $34.19 / $41.09	Professional		$21.96	$34.19	$41.09