Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $32.34 / $55.86	Facility		$15.16	$32.34	$55.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $17.78 / $29.40	Professional		$6.49	$17.78	$29.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $50.96	Facility		$19.60	$19.60	$50.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $9.68 / $30.08	Professional		$4.83	$9.68	$30.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $19.60 / $19.60	Facility		$11.76	$19.60	$19.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $19.60 / $19.60	Professional		$14.31	$19.60	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $39.57 / $94.03	Facility		$13.70	$39.57	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.92 / $126.71	Professional		$14.53	$21.92	$126.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $25.48 / $332.00	Facility		$10.60	$25.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.66 / $35.86	Professional		$8.23	$11.66	$35.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $8.23 / $8.23	Facility		$8.23	$8.23	$8.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $18.62 / $23.56	Professional		$8.23	$18.62	$23.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $47.68 / $254.50	Facility		$19.11	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.14 / $40.38	Professional		$15.06	$19.14	$40.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $11.25 / $33.65	Professional		$7.16	$11.25	$33.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $72.15	Facility		$22.54	$22.54	$72.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.55 / $26.00	Professional		$16.00	$20.55	$26.00