Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $63.49 / $113.96	Facility		$32.01	$63.49	$113.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $34.60 / $76.11	Professional		$16.12	$34.60	$76.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $105.82	Facility		$40.70	$40.70	$105.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $28.30 / $80.15	Professional		$16.28	$28.30	$80.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $40.70 / $40.70	Facility		$24.42	$40.70	$40.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $40.70 / $40.70	Professional		$29.71	$40.70	$40.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $99.61 / $233.27	Facility		$49.94	$99.61	$233.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $55.27 / $131.81	Professional		$24.06	$55.27	$131.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $52.91 / $332.00	Facility		$16.00	$52.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $42.46 / $74.48	Professional		$28.49	$42.46	$74.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $38.67 / $47.73	Professional		$31.84	$38.67	$47.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $99.61 / $259.19	Facility		$37.31	$99.61	$259.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $54.77 / $208.55	Professional		$24.17	$54.77	$208.55
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.42 / $76.93	Professional		$18.07	$24.42	$76.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $44.77 / $66.66	Facility		$44.77	$44.77	$66.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $43.90 / $66.66	Professional		$34.59	$43.90	$66.66