Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $39.89 / $125.91	Facility		$30.57	$39.89	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $32.28 / $44.42	Professional		$17.75	$32.28	$44.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $27.34 / $34.17	Facility		$27.34	$27.34	$34.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $30.75 / $48.22	Professional		$29.05	$30.75	$48.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $29.94	Facility		$29.94	$29.94	$29.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $29.94 / $29.94	Professional		$29.94	$29.94	$29.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $30.61 / $106.97	Facility		$29.72	$30.61	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.20 / $332.00	Facility		$32.36	$53.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $44.17	Professional		$32.36	$32.36	$44.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $31.61 / $31.61	Facility		$31.61	$31.61	$31.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $31.61 / $34.17	Professional		$31.61	$31.61	$34.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $30.61 / $597.00	Facility		$30.61	$30.61	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $33.71 / $45.68	Professional		$22.94	$33.71	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $51.72	Professional		$34.17	$35.97	$51.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $31.61 / $31.61	Facility		$31.61	$31.61	$31.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $31.61 / $34.17	Professional		$31.61	$31.61	$34.17