Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $75.86	Facility		$21.88	$21.88	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $33.11	Professional		$21.38	$21.88	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $22.91	Facility		$21.88	$21.88	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $50,118.72	Facility		$19.05	$21.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $104.71	Professional		$21.88	$21.88	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $75.86	Facility		$20.89	$26.92	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $25.12	Professional		$20.89	$20.89	$25.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.42 / $21.88	Professional		$11.48	$20.42	$21.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50,118.72 / $75,857.76	Facility		$28.18	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $30.90	Professional		$19.95	$22.91	$30.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.30 / $20.42	Facility		$11.48	$12.30	$20.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.42 / $21.88	Professional		$11.48	$20.42	$21.88