Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $26.76 / $43.58	Facility		$14.31	$26.76	$43.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.00 / $19.80	Professional		$10.52	$13.00	$19.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $39.75	Facility		$15.29	$15.29	$39.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.32 / $33.44	Professional		$7.44	$9.32	$33.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $15.29 / $15.29	Facility		$9.17	$15.29	$15.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.29 / $15.29	Professional		$11.16	$15.29	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $31.10 / $155.75	Facility		$10.68	$31.10	$155.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $16.80 / $73.70	Professional		$11.28	$16.80	$73.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $22.49 / $332.00	Facility		$13.00	$22.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $9.17 / $27.98	Professional		$6.99	$9.17	$27.98
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 / $14.53 / $19.29	Professional		$12.49	$14.53	$19.29
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $10.70	Professional		$10.70	$10.70	$10.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $37.47 / $204.21	Facility		$14.91	$37.47	$204.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $14.48 / $31.50	Professional		$12.06	$14.48	$31.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.52 / $25.88	Professional		$8.11	$10.52	$25.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $36.42	Facility		$17.57	$17.57	$36.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.03 / $19.98	Professional		$13.27	$16.03	$19.98