Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $26.88 / $42.74	Professional		$24.85	$26.88	$42.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $27.79	Facility		$22.23	$22.23	$27.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $25.01 / $48.10	Professional		$24.19	$25.01	$48.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Facility		$26.88	$26.88	$26.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $27.27 / $115.65	Facility		$26.47	$27.27	$115.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $43.26 / $332.00	Facility		$26.33	$43.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $26.33 / $35.92	Professional		$26.33	$26.33	$35.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $25.73 / $27.79	Professional		$25.73	$25.73	$27.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $27.27 / $597.00	Facility		$27.27	$27.27	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.44 / $37.15	Professional		$21.00	$27.44	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $42.06	Professional		$27.79	$29.25	$42.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $25.73 / $27.79	Professional		$25.73	$25.73	$27.79