Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $48.70 / $87.42	Facility		$25.29	$48.70	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $24.35 / $43.08	Professional		$14.89	$24.35	$43.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $31.22 / $81.17	Facility		$31.22	$31.22	$81.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $17.42 / $61.76	Professional		$12.25	$17.42	$61.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $31.22 / $31.22	Facility		$18.73	$31.22	$31.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $31.22 / $31.22	Professional		$22.79	$31.22	$31.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $75.77 / $215.47	Facility		$38.09	$75.77	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $38.15 / $100.27	Professional		$18.02	$38.15	$100.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $40.59 / $332.00	Facility		$16.00	$40.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $32.78 / $57.13	Professional		$21.85	$32.78	$57.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $30.83 / $56.61	Professional		$26.54	$30.83	$56.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $75.77 / $254.50	Facility		$28.61	$75.77	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $39.51 / $92.50	Professional		$18.44	$39.51	$92.50
United Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $31.22	Facility		$28.10	$28.10	$31.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $17.91 / $47.32	Professional		$13.11	$17.91	$47.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $73.86	Facility		$35.90	$35.90	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $32.72 / $82.96	Professional		$26.54	$32.72	$82.96