Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $46.46 / $81.81	Facility		$23.67	$46.46	$81.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $23.67 / $41.49	Professional		$15.42	$23.67	$41.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $75.97	Facility		$29.22	$29.22	$75.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $21.04 / $62.24	Professional		$11.69	$21.04	$62.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $29.22 / $29.22	Facility		$17.53	$29.22	$29.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $29.22 / $29.22	Professional		$21.33	$29.22	$29.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $59.36 / $78.23	Facility		$35.54	$59.36	$78.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $39.59 / $94.62	Professional		$17.47	$39.59	$94.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $37.99 / $332.00	Facility		$13.00	$37.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $30.49 / $53.47	Professional		$20.45	$30.49	$53.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Facility		$21.64	$21.64	$21.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $27.76 / $35.11	Professional		$21.64	$27.76	$35.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $71.52 / $254.50	Facility		$26.78	$71.52	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $37.63 / $87.66	Professional		$17.78	$37.63	$87.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $44.29	Professional		$12.27	$17.53	$44.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $33.60 / $51.43	Facility		$33.60	$33.60	$51.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $29.22 / $51.43	Professional		$24.84	$29.22	$51.43