Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $50.12 / $79.43	Facility		$26.30	$50.12	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $46.77	Professional		$19.05	$23.99	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $67.61	Facility		$26.30	$26.30	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $70.79	Professional		$12.88	$12.88	$70.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.30 / $26.30	Facility		$15.49	$26.30	$26.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $26.30	Professional		$19.05	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $66.07 / $281.84	Facility		$19.95	$66.07	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $204.17	Professional		$18.20	$40.74	$204.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $58.88 / $107.15	Facility		$26.30	$58.88	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $48.98	Professional		$18.20	$21.88	$48.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $46.77	Professional		$16.22	$25.12	$46.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $46.77 / $50,118.72	Facility		$26.30	$46.77	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.11	Professional		$26.30	$26.30	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.30 / $31.62	Facility		$23.44	$26.30	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $38.90	Professional		$10.96	$15.49	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $63.10	Facility		$15.49	$18.62	$63.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $81.28	Professional		$18.62	$26.30	$81.28