Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $45.62 / $74.30	Facility		$22.16	$45.62	$74.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.23 / $34.29	Professional		$19.35	$23.23	$34.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $67.78	Facility		$26.07	$26.07	$67.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $15.90 / $63.12	Professional		$12.87	$15.90	$63.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $26.07 / $26.07	Facility		$15.64	$26.07	$26.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.07 / $26.07	Professional		$19.03	$26.07	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $53.00 / $266.56	Facility		$18.22	$53.00	$266.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $29.22 / $168.93	Professional		$19.30	$29.22	$168.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $43.02 / $332.00	Facility		$28.00	$43.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.64 / $47.71	Professional		$11.91	$15.64	$47.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Facility		$26.07	$26.07	$26.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $26.07 / $33.63	Professional		$22.97	$26.07	$33.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $63.86 / $311.24	Facility		$23.90	$63.86	$311.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $35.83 / $55.83	Professional		$20.76	$35.83	$55.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $40.93	Professional		$10.95	$15.64	$40.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $96.02	Facility		$29.98	$29.98	$96.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $28.20 / $34.60	Professional		$22.97	$28.20	$34.60