Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $91.20	Facility		$30.20	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $52.48	Professional		$14.79	$23.99	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Facility		$30.20	$30.20	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $57.54	Professional		$12.02	$12.02	$57.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $30.20	Facility		$18.20	$30.20	$30.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $30.20	Professional		$21.88	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $218.78	Facility		$22.91	$64.57	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $144.54	Professional		$16.98	$36.31	$144.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $83.18	Facility		$13.18	$30.20	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $57.54	Professional		$20.89	$25.70	$57.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $53.70	Professional		$16.98	$28.84	$53.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $53.70 / $50,118.72	Facility		$25.12	$53.70	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $36.31	Facility		$26.92	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $39.81	Professional		$12.59	$17.78	$39.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $48.98	Facility		$16.22	$19.50	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $74.13	Professional		$19.05	$28.84	$74.13