Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $28.63 / $47.99	Facility		$16.00	$28.63	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $13.14 / $16.84	Professional		$12.50	$13.14	$16.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $43.78	Facility		$16.84	$16.84	$43.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.18 / $38.00	Professional		$8.02	$10.18	$38.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $16.84 / $16.84	Facility		$10.10	$16.84	$16.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.84 / $16.84	Professional		$12.29	$16.84	$16.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $33.90 / $173.72	Facility		$11.77	$33.90	$173.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $18.98 / $106.51	Professional		$12.58	$18.98	$106.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $23.58 / $332.00	Facility		$12.60	$23.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $10.10 / $30.82	Professional		$6.74	$10.10	$30.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.84 / $22.34	Professional		$14.31	$16.84	$22.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $40.86 / $227.76	Facility		$16.43	$40.86	$227.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $23.14 / $50.00	Professional		$13.44	$23.14	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.10 / $25.52	Professional		$7.07	$10.10	$25.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $62.00	Facility		$19.37	$19.37	$62.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $18.82 / $25.51	Professional		$14.84	$18.82	$25.51