Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $46.85 / $84.08	Facility		$24.32	$46.85	$84.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.42 / $41.44	Professional		$14.89	$23.42	$41.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $78.08	Facility		$30.03	$30.03	$78.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $17.42 / $60.36	Professional		$12.01	$17.42	$60.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $30.03 / $30.03	Facility		$18.02	$30.03	$30.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $30.03 / $30.03	Professional		$21.92	$30.03	$30.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $73.22 / $215.47	Facility		$36.82	$73.22	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $36.92 / $96.89	Professional		$17.80	$36.92	$96.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $39.04 / $332.00	Facility		$13.10	$39.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $31.33 / $54.95	Professional		$21.02	$31.33	$54.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $28.53 / $36.09	Professional		$16.07	$28.53	$36.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $73.22 / $254.50	Facility		$27.52	$73.22	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $38.67 / $90.09	Professional		$18.02	$38.67	$90.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $16.42 / $45.51	Professional		$12.61	$16.42	$45.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $34.53 / $73.86	Facility		$34.53	$34.53	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $30.03 / $73.86	Professional		$20.52	$30.03	$73.86