Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $42.66 / $69.18	Facility		$19.50	$42.66	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $39.81	Professional		$14.79	$20.89	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $58.88	Facility		$22.91	$22.91	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $52.48	Professional		$10.00	$10.00	$52.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.91 / $22.91	Facility		$13.80	$22.91	$22.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $22.91	Professional		$16.60	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $56.23 / $218.78	Facility		$17.38	$56.23	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $120.23	Professional		$14.79	$31.62	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $63.10	Facility		$13.18	$26.30	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $43.65	Professional		$15.85	$19.05	$43.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.38 / $40.74	Professional		$8.51	$21.38	$40.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $40.74 / $50,118.72	Facility		$17.38	$40.74	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.91 / $27.54	Facility		$20.42	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $34.67	Professional		$9.55	$13.80	$34.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.00 / $48.98	Facility		$8.13	$10.00	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $22.91 / $67.61	Professional		$9.77	$22.91	$67.61