Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.14 / $62.42	Facility		$18.62	$36.14	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $15.91 / $21.90	Professional		$13.10	$15.91	$21.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $56.94	Facility		$21.90	$21.90	$56.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.34 / $40.54	Professional		$8.59	$11.34	$40.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $21.90 / $21.90	Facility		$13.14	$21.90	$21.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $21.90 / $21.90	Professional		$15.99	$21.90	$21.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $46.28 / $182.74	Facility		$15.30	$46.28	$182.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $22.28 / $105.56	Professional		$13.23	$22.28	$105.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $28.47 / $332.00	Facility		$11.60	$28.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $13.14 / $40.08	Professional		$8.76	$13.14	$40.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $20.05 / $24.60	Professional		$15.55	$20.05	$24.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $53.63 / $239.59	Facility		$20.07	$53.63	$239.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $21.98 / $38.59	Professional		$14.03	$21.98	$38.59
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.14 / $32.85	Professional		$9.19	$13.14	$32.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $25.18 / $65.00	Facility		$25.18	$25.18	$65.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $20.95 / $26.32	Professional		$14.75	$20.95	$26.32