Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $62.01 / $111.15	Facility		$33.15	$62.01	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $17.69 / $39.00	Professional		$14.56	$17.69	$39.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $101.40	Facility		$39.00	$39.00	$101.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $15.60 / $54.38	Professional		$9.82	$15.60	$54.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $39.00 / $39.00	Facility		$23.40	$39.00	$39.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $39.00 / $39.00	Professional		$28.47	$39.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $79.15 / $210.67	Facility		$27.26	$79.15	$210.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $39.45 / $187.98	Professional		$15.07	$39.45	$187.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $50.70 / $332.00	Facility		$12.10	$50.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.21 / $71.37	Professional		$17.82	$23.21	$71.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Facility		$27.36	$27.36	$27.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $27.36 / $40.89	Professional		$18.25	$27.36	$40.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $95.36 / $254.50	Facility		$27.26	$95.36	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $17.05 / $60.45	Professional		$6.30	$17.05	$60.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.55 / $57.28	Professional		$13.70	$17.55	$57.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $44.85 / $72.22	Facility		$44.85	$44.85	$72.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $27.29 / $46.87	Professional		$17.71	$27.29	$46.87