Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $25.59 / $42.89	Facility		$12.79	$25.59	$42.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.12 / $13.84	Professional		$10.52	$13.12	$13.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $39.13	Facility		$15.05	$15.05	$39.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $9.10 / $33.97	Professional		$7.01	$9.10	$33.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $15.05 / $15.05	Facility		$9.02	$15.05	$15.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $15.05 / $15.05	Professional		$10.99	$15.05	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $30.39 / $155.75	Facility		$10.52	$30.39	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $16.80 / $89.98	Professional		$11.28	$16.80	$89.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $19.57 / $332.00	Facility		$6.30	$19.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.02 / $27.54	Professional		$6.88	$9.02	$27.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.46 / $19.98	Professional		$12.49	$14.46	$19.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $36.61 / $204.21	Facility		$14.67	$36.61	$204.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $15.42 / $31.00	Professional		$10.49	$15.42	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $9.44 / $22.58	Professional		$7.62	$9.44	$22.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $54.57	Facility		$17.30	$17.30	$54.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.28 / $20.39	Professional		$13.27	$16.28	$20.39