Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $40.47 / $65.92	Facility		$18.73	$40.47	$65.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.04 / $23.13	Professional		$16.61	$18.04	$23.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $23.13 / $60.14	Facility		$15.42	$23.13	$60.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $14.10 / $54.72	Professional		$11.04	$14.10	$54.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $23.13 / $25.93	Facility		$13.88	$23.13	$25.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $23.13 / $25.93	Professional		$16.88	$23.13	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $46.65 / $230.64	Facility		$16.16	$46.65	$230.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $31.08 / $143.22	Professional		$17.20	$31.08	$143.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $32.38 / $332.00	Facility		$15.10	$32.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.88 / $42.33	Professional		$10.57	$13.88	$42.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Facility		$23.13	$23.13	$23.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $23.13 / $29.68	Professional		$19.70	$23.13	$29.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $56.20 / $267.04	Facility		$21.19	$56.20	$267.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $31.08 / $47.64	Professional		$17.95	$31.08	$47.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.88 / $34.70	Professional		$9.71	$13.88	$34.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.60 / $82.36	Facility		$26.60	$26.60	$82.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $25.98 / $29.84	Professional		$19.70	$25.98	$29.84