Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $61.83 / $106.52	Facility		$30.03	$61.83	$106.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $31.48 / $35.33	Professional		$26.23	$31.48	$35.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $91.86	Facility		$35.33	$35.33	$91.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $21.19 / $75.08	Professional		$15.62	$21.19	$75.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $35.33 / $35.33	Facility		$21.20	$35.33	$35.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $35.33 / $35.33	Professional		$25.79	$35.33	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $71.36 / $362.44	Facility		$24.69	$71.36	$362.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $39.81 / $227.70	Professional		$26.24	$39.81	$227.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $45.93 / $332.00	Facility		$22.10	$45.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.20 / $64.65	Professional		$14.13	$21.20	$64.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $33.56 / $42.46	Professional		$17.25	$33.56	$42.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.98 / $421.92	Facility		$32.36	$85.98	$421.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $48.57 / $100.00	Professional		$28.27	$48.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $21.20 / $62.49	Professional		$13.65	$21.20	$62.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $40.63 / $70.34	Facility		$40.63	$40.63	$70.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $33.93 / $48.32	Professional		$17.25	$33.93	$48.32