Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $31.28 / $56.14	Facility		$17.04	$31.28	$56.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $22.06 / $30.07	Professional		$14.89	$22.06	$30.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $52.13	Facility		$20.05	$20.05	$52.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.74 / $53.94	Professional		$9.90	$13.74	$53.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $20.05 / $20.05	Facility		$12.03	$20.05	$20.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $20.05 / $20.05	Professional		$14.64	$20.05	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.52 / $215.47	Facility		$24.55	$48.52	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $32.11 / $76.68	Professional		$14.97	$32.11	$76.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $26.86 / $332.00	Facility		$13.10	$26.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $20.92 / $37.49	Professional		$14.04	$20.92	$37.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Facility		$6.65	$6.65	$6.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $19.05 / $32.94	Professional		$6.65	$19.05	$32.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $48.52 / $254.50	Facility		$19.91	$48.52	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $31.74 / $64.17	Professional		$16.09	$31.74	$64.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $34.04	Professional		$8.42	$12.03	$34.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $73.86	Facility		$23.06	$23.06	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $20.87 / $53.28	Professional		$8.49	$20.87	$53.28