Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $54.30 / $97.47	Facility		$29.59	$54.30	$97.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $30.35 / $64.26	Professional		$21.48	$30.35	$64.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $90.51	Facility		$34.81	$34.81	$90.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $20.88 / $80.29	Professional		$15.97	$20.88	$80.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $34.81 / $34.81	Facility		$20.89	$34.81	$34.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $34.81 / $34.81	Professional		$25.41	$34.81	$34.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $85.13 / $311.05	Facility		$42.75	$85.13	$311.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $55.81 / $121.90	Professional		$23.86	$55.81	$121.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $47.15 / $332.00	Facility		$23.00	$47.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $36.32 / $65.09	Professional		$24.37	$36.32	$65.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $34.81	Facility		$34.81	$34.81	$34.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $34.81 / $44.90	Professional		$31.84	$34.81	$44.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $85.13 / $345.61	Facility		$33.95	$85.13	$345.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $58.04 / $205.65	Professional		$25.78	$58.04	$205.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $20.89 / $69.23	Professional		$15.66	$20.89	$69.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $93.31	Facility		$38.29	$38.29	$93.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $38.29 / $92.50	Professional		$31.90	$38.29	$92.50