Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $20.53	Professional		$16.30	$16.30	$20.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $14.84 / $62.96	Facility		$13.99	$14.84	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $22.78 / $332.00	Facility		$13.36	$22.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $22.29	Professional		$13.36	$13.36	$22.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $14.84 / $597.00	Facility		$13.99	$14.84	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $17.00 / $17.00	Professional		$13.99	$17.00	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $20.47	Professional		$13.38	$13.38	$20.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $14.97 / $14.97	Facility		$13.82	$14.97	$14.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $14.60 / $14.97	Professional		$13.82	$14.60	$14.97