Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $25.01 / $93.42	Facility		$12.21	$25.01	$93.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $23.72 / $29.00	Professional		$16.94	$23.72	$29.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.82 / $19.46	Professional		$8.71	$13.82	$19.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $75.52 / $166.91	Facility		$31.02	$75.52	$166.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $32.35 / $93.08	Professional		$12.09	$32.35	$93.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $19.55 / $332.00	Facility		$8.60	$19.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.66 / $22.86	Professional		$9.46	$12.66	$22.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Facility		$21.79	$21.79	$21.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $23.73 / $64.41	Professional		$20.32	$23.73	$64.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $82.57 / $254.50	Facility		$19.91	$82.57	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $32.00 / $78.91	Professional		$13.73	$32.00	$78.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.21 / $47.94	Professional		$10.24	$17.21	$47.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $34.15 / $34.15	Facility		$19.61	$34.15	$34.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $29.33 / $78.91	Professional		$20.71	$29.33	$78.91