Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $33.25 / $55.75	Facility		$18.57	$33.25	$55.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.63 / $19.95	Professional		$14.52	$16.63	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $50.86	Facility		$19.55	$19.55	$50.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.83 / $44.15	Professional		$9.33	$11.83	$44.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $19.55 / $19.55	Facility		$11.74	$19.55	$19.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.55 / $19.55	Professional		$14.28	$19.55	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $41.31 / $200.70	Facility		$13.67	$41.31	$200.70
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 $9.10 / $25.43 / $332.00	Facility		$9.10	$25.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.74 / $35.79	Professional		$8.94	$11.74	$35.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Facility		$19.55	$19.55	$19.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.55 / $25.23	Professional		$17.23	$19.55	$25.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $47.68 / $254.50	Facility		$19.07	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $26.88 / $42.90	Professional		$15.62	$26.88	$42.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.74 / $29.64	Professional		$8.22	$11.74	$29.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $22.49 / $72.03	Facility		$22.49	$22.49	$72.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.97 / $25.95	Professional		$17.23	$21.97	$25.95