Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $41.93 / $75.26	Facility		$21.77	$41.93	$75.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $20.97 / $40.32	Professional		$14.89	$20.97	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $69.89	Facility		$26.88	$26.88	$69.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.98 / $57.79	Professional		$10.75	$15.98	$57.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $26.88 / $26.88	Facility		$16.13	$26.88	$26.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $26.88 / $26.88	Professional		$19.62	$26.88	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $65.56 / $215.47	Facility		$33.01	$65.56	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $36.26 / $86.75	Professional		$16.38	$36.26	$86.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $34.94 / $332.00	Facility		$13.10	$34.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $28.22 / $49.19	Professional		$18.82	$28.22	$49.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $26.62 / $48.74	Professional		$22.85	$26.62	$48.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $65.56 / $254.50	Facility		$24.63	$65.56	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $36.29 / $80.64	Professional		$16.68	$36.29	$80.64
United Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $24.19 / $26.88	Facility		$24.19	$24.19	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $40.74	Professional		$11.29	$16.13	$40.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $73.86	Facility		$30.91	$30.91	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $28.18 / $73.86	Professional		$22.85	$28.18	$73.86