Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $66.31 / $96.56	Facility		$29.82	$66.31	$96.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $26.05 / $48.18	Professional		$18.60	$26.05	$48.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $91.23	Facility		$35.09	$35.09	$91.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.04 / $94.39	Professional		$17.32	$24.04	$94.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $35.09	Facility		$21.05	$35.09	$35.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.09 / $35.09	Professional		$25.62	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $85.98 / $377.22	Facility		$42.75	$85.98	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $57.62 / $133.69	Professional		$26.03	$57.62	$133.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $45.62 / $332.00	Facility		$22.00	$45.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.61 / $65.62	Professional		$24.56	$36.61	$65.62
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 / $33.34 / $57.66	Professional		$21.64	$33.34	$57.66
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Professional		$25.97	$25.97	$25.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $85.98 / $419.14	Facility		$34.22	$85.98	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $56.33 / $113.79	Professional		$28.16	$56.33	$113.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $95.25	Facility		$40.35	$40.35	$95.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.09 / $93.25	Professional		$27.64	$35.09	$93.25