Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $63.87 / $114.48	Facility		$15.40	$63.87	$114.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.35 / $40.17	Professional		$7.70	$9.35	$40.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $104.44	Facility		$40.17	$40.17	$104.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $53.79	Professional		$16.07	$16.07	$53.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $40.17 / $40.17	Facility		$24.10	$40.17	$40.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $40.17 / $40.17	Professional		$29.32	$40.17	$40.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $81.27 / $123.72	Facility		$28.07	$81.27	$123.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $24.29 / $193.62	Professional		$7.97	$24.29	$193.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $52.22 / $332.00	Facility		$8.00	$52.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $23.70 / $73.51	Professional		$14.70	$23.70	$73.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $10.97 / $42.11	Professional		$0.78	$10.97	$42.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $97.91 / $254.50	Facility		$28.07	$97.91	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $21.15 / $62.26	Professional		$8.30	$21.15	$62.26
United Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.66 / $26.11	Facility		$7.11	$7.66	$26.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $16.87 / $59.00	Professional		$8.81	$16.87	$59.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $46.19 / $46.19	Facility		$2.35	$46.19	$46.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $9.94 / $48.28	Professional		$0.78	$9.94	$48.28