Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $85.11	Facility		$23.99	$50.12	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $41.69	Professional		$10.96	$21.88	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $74.13	Facility		$28.18	$28.18	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $47.86	Professional		$11.48	$11.48	$47.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $28.18	Facility		$16.98	$28.18	$28.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $28.18	Professional		$20.89	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $61.66 / $173.78	Facility		$21.88	$61.66	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.88 / $138.04	Professional		$15.14	$33.88	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.18 / $70.79	Facility		$10.72	$28.18	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.95 / $54.95	Professional		$13.49	$19.95	$54.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $32.36	Professional		$19.05	$24.55	$32.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $51.29 / $50,118.72	Facility		$25.12	$51.29	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.70 / $33.88	Facility		$13.80	$25.70	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $42.66	Professional		$11.22	$15.85	$42.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $47.86	Facility		$20.42	$23.99	$47.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $60.26	Professional		$19.05	$26.30	$60.26