Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $49.78 / $85.98	Facility		$26.47	$49.78	$85.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $25.12 / $30.77	Professional		$20.68	$25.12	$30.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $78.44	Facility		$30.17	$30.17	$78.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $17.62 / $62.86	Professional		$13.29	$17.62	$62.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $30.17 / $30.17	Facility		$18.10	$30.17	$30.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $30.17 / $30.17	Professional		$22.02	$30.17	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $42.23 / $332.00	Facility		$20.60	$42.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $18.10 / $55.21	Professional		$12.07	$18.10	$55.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $28.66 / $36.26	Professional		$25.17	$28.66	$36.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $254.50 / $74,999.25	Facility		$13.73	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $46.70 / $70.00	Professional		$22.35	$46.70	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $18.10 / $44.31	Professional		$12.67	$18.10	$44.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $34.69 / $102.61	Facility		$34.69	$34.69	$102.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $31.63 / $36.97	Professional		$25.17	$31.63	$36.97