Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.02 / $60.26	Facility		$20.42	$38.02	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $30.20	Professional		$14.13	$15.85	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $52.48	Facility		$20.42	$20.42	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $51.29	Professional		$10.00	$10.00	$51.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.42 / $20.42	Facility		$12.02	$20.42	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $20.42	Professional		$14.79	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $218.78	Facility		$15.49	$43.65	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $134.90	Professional		$13.18	$28.84	$134.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $72.44	Facility		$20.42	$28.18	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $38.90	Professional		$9.55	$14.13	$38.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $26.30	Professional		$16.60	$20.42	$26.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $50,118.72	Facility		$21.88	$38.02	$50,118.72
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 / $30.90	Professional		$8.51	$12.02	$30.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $42.66	Facility		$16.98	$20.42	$42.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $51.29	Professional		$16.98	$21.38	$51.29