Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $34.72 / $59.99	Facility		$18.00	$34.72	$59.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.07 / $21.47	Professional		$14.06	$17.07	$21.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $54.73	Facility		$21.05	$21.05	$54.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $11.91 / $42.91	Professional		$9.03	$11.91	$42.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $21.05 / $21.05	Facility		$12.63	$21.05	$21.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $21.05 / $21.05	Professional		$15.37	$21.05	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $42.39 / $194.71	Facility		$14.71	$42.39	$194.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $21.19 / $123.03	Professional		$14.10	$21.19	$123.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $30.45 / $332.00	Facility		$17.60	$30.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.63 / $38.52	Professional		$8.42	$12.63	$38.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.05 / $25.30	Professional		$17.10	$21.05	$25.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.07 / $254.50	Facility		$19.91	$51.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $26.03 / $42.44	Professional		$15.19	$26.03	$42.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $12.63 / $30.92	Professional		$8.84	$12.63	$30.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $69.75	Facility		$24.21	$24.21	$69.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $22.33 / $25.94	Professional		$17.10	$22.33	$25.94