Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $32.57 / $56.26	Facility		$15.28	$32.57	$56.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $17.64 / $22.70	Professional		$6.49	$17.64	$22.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $51.32	Facility		$19.73	$19.73	$51.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $9.75 / $30.29	Professional		$4.83	$9.75	$30.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $19.73 / $19.73	Facility		$11.84	$19.73	$19.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $19.73 / $19.73	Professional		$14.41	$19.73	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $40.27 / $94.03	Facility		$13.79	$40.27	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $22.28 / $128.53	Professional		$14.75	$22.28	$128.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $25.66 / $332.00	Facility		$11.10	$25.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.75 / $36.11	Professional		$9.02	$11.75	$36.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $9.49 / $9.49	Facility		$9.49	$9.49	$9.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.75 / $23.73	Professional		$9.49	$18.75	$23.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $48.52 / $254.50	Facility		$19.25	$48.52	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $19.14 / $40.65	Professional		$15.18	$19.14	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $9.67 / $28.99	Professional		$7.16	$9.67	$28.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $22.70 / $72.70	Facility		$22.70	$22.70	$72.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.69 / $26.21	Professional		$12.13	$20.69	$26.21