Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $60.26	Facility		$19.95	$38.02	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $33.88	Professional		$14.13	$18.20	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $52.48	Facility		$19.95	$19.95	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $45.71	Professional		$10.00	$10.00	$45.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $19.95	Facility		$12.02	$19.95	$19.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $19.95	Professional		$14.79	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $218.78	Facility		$15.14	$42.66	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $134.90	Professional		$14.13	$28.84	$134.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $54.95	Facility		$12.88	$22.91	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $35.48	Professional		$10.96	$16.22	$35.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $35.48	Professional		$16.98	$19.95	$35.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $50,118.72	Facility		$25.12	$38.02	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.70	Professional		$19.95	$19.95	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $23.99	Facility		$12.02	$18.20	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $28.84	Professional		$8.51	$12.02	$28.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $66.07	Facility		$16.98	$22.91	$66.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $63.10	Professional		$16.98	$20.89	$63.10