Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $29.71 / $38.50	Professional		$28.35	$29.71	$38.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $29.71	Facility		$23.77	$23.77	$29.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.71 / $26.71	Professional		$26.00	$26.71	$26.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $24.89 / $105.57	Facility		$24.16	$24.89	$105.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $45.04 / $332.00	Facility		$28.03	$45.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $28.15 / $46.00	Professional		$28.15	$28.15	$46.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Facility		$22.54	$22.54	$22.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $27.05 / $27.50	Professional		$22.54	$27.05	$27.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $24.89 / $597.00	Facility		$24.89	$24.89	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $28.87 / $29.33	Professional		$23.00	$28.87	$29.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $30.02 / $39.04	Professional		$25.44	$30.02	$39.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $27.50 / $27.50	Facility		$18.85	$27.50	$27.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $20.69 / $29.71	Professional		$18.85	$20.69	$29.71