Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $33.29 / $55.83	Facility		$18.61	$33.29	$55.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $16.64 / $19.59	Professional		$15.57	$16.64	$19.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $50.93	Facility		$19.59	$19.59	$50.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $11.85 / $44.78	Professional		$9.67	$11.85	$44.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.59 / $19.59	Facility		$11.75	$19.59	$19.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $19.59 / $19.59	Professional		$14.30	$19.59	$19.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $39.57 / $212.12	Facility		$13.69	$39.57	$212.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.92 / $295.00	Professional		$14.53	$21.92	$295.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $32.15 / $332.00	Facility		$20.10	$32.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.75 / $35.85	Professional		$7.84	$11.75	$35.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.59 / $24.91	Professional		$16.64	$19.59	$24.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $47.68 / $254.50	Facility		$19.10	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $27.62 / $50.00	Professional		$15.72	$27.62	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.75 / $41.21	Professional		$8.23	$11.75	$41.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $77.23	Facility		$22.53	$22.53	$77.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $21.98 / $27.84	Professional		$17.12	$21.98	$27.84