Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $50.46 / $84.59	Facility		$28.20	$50.46	$84.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $23.15 / $29.68	Professional		$22.03	$23.15	$29.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $29.68 / $77.17	Facility		$29.68	$29.68	$77.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $18.10 / $71.86	Professional		$14.66	$18.10	$71.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $29.68 / $29.68	Facility		$17.80	$29.68	$29.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $29.68 / $29.68	Professional		$21.67	$29.68	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $62.69 / $305.52	Facility		$20.74	$62.69	$305.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $33.24 / $190.96	Professional		$22.12	$33.24	$190.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $38.58 / $332.00	Facility		$17.10	$38.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $17.80 / $54.31	Professional		$11.87	$17.80	$54.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $29.68 / $35.67	Professional		$25.23	$29.68	$35.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $72.36 / $354.38	Facility		$27.20	$72.36	$354.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $40.79 / $63.65	Professional		$23.72	$40.79	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $17.80 / $46.00	Professional		$10.51	$17.80	$46.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $34.13 / $109.33	Facility		$34.13	$34.13	$109.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $31.41 / $39.40	Professional		$26.16	$31.41	$39.40