Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $41.45 / $77.56	Facility		$22.16	$41.45	$77.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $22.16 / $39.97	Professional		$19.35	$22.16	$39.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $67.78	Facility		$26.07	$26.07	$67.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $17.85 / $71.45	Professional		$12.87	$17.85	$71.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $26.07 / $26.07	Facility		$15.64	$26.07	$26.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.07 / $26.07	Professional		$19.03	$26.07	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $63.86 / $280.11	Facility		$32.01	$63.86	$280.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $42.12 / $99.29	Professional		$19.30	$42.12	$99.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $66.70 / $332.00	Facility		$26.07	$66.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $27.20 / $48.75	Professional		$18.25	$27.20	$48.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $15.35	Facility		$15.35	$15.35	$15.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $24.77 / $42.83	Professional		$15.35	$24.77	$42.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $63.86 / $311.24	Facility		$25.43	$63.86	$311.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $41.96 / $84.44	Professional		$20.92	$41.96	$84.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $40.93	Professional		$10.95	$15.64	$40.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $96.02	Facility		$29.98	$29.98	$96.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $27.33 / $69.28	Professional		$19.61	$27.33	$69.28