Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $42.57 / $76.41	Facility		$22.10	$42.57	$76.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $21.29 / $40.92	Professional		$14.89	$21.29	$40.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $70.95	Facility		$27.29	$27.29	$70.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $16.19 / $58.67	Professional		$10.92	$16.19	$58.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $27.29 / $27.29	Facility		$16.37	$27.29	$27.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $27.29 / $27.29	Professional		$19.92	$27.29	$27.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $66.41 / $215.47	Facility		$33.44	$66.41	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $36.26 / $87.87	Professional		$16.57	$36.26	$87.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $35.47 / $332.00	Facility		$13.10	$35.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $28.65 / $49.94	Professional		$19.10	$28.65	$49.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $26.95 / $49.48	Professional		$23.20	$26.95	$49.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $66.41 / $254.50	Facility		$25.01	$66.41	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $36.29 / $81.87	Professional		$16.70	$36.29	$81.87
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.37 / $41.36	Professional		$11.46	$16.37	$41.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $31.38 / $73.86	Facility		$31.38	$31.38	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $28.61 / $73.86	Professional		$23.20	$28.61	$73.86