Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $44.67 / $77.62	Facility		$21.88	$44.67	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $30.90	Professional		$12.02	$19.05	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $66.07	Facility		$25.70	$25.70	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $44.67	Professional		$10.23	$10.23	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $25.70	Facility		$15.49	$25.70	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $25.70	Professional		$18.62	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $54.95 / $177.83	Facility		$17.78	$54.95	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $123.03	Professional		$15.49	$29.51	$123.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $70.79	Facility		$10.00	$25.70	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $50.12	Professional		$10.23	$15.49	$50.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $26.92	Professional		$8.13	$13.49	$26.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $45.71 / $50,118.72	Facility		$14.45	$45.71	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.91 / $30.90	Facility		$13.49	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $38.02	Professional		$10.72	$15.49	$38.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $29.51	Facility		$8.13	$9.77	$29.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $21.88 / $53.70	Professional		$8.13	$21.88	$53.70