Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $34.85 / $62.47	Facility		$18.63	$34.85	$62.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $18.09 / $32.88	Professional		$14.89	$18.09	$32.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $56.99	Facility		$21.92	$21.92	$56.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.74 / $54.18	Professional		$9.90	$13.74	$54.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $21.92 / $21.92	Facility		$13.15	$21.92	$21.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.92 / $21.92	Professional		$16.00	$21.92	$21.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $53.63 / $215.47	Facility		$26.88	$53.63	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $32.76 / $76.68	Professional		$14.97	$32.76	$76.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $28.50 / $332.00	Facility		$13.10	$28.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $23.02 / $40.99	Professional		$15.34	$23.02	$40.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $21.92 / $39.75	Professional		$18.63	$21.92	$39.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.63 / $254.50	Facility		$21.38	$53.63	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $33.97 / $70.93	Professional		$16.09	$33.97	$70.93
United Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $21.92	Facility		$19.73	$19.73	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.15 / $38.77	Professional		$9.21	$13.15	$38.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $73.86	Facility		$25.21	$25.21	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $23.64 / $63.32	Professional		$20.82	$23.64	$63.32