Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $18.68 / $41.99	Facility		$18.68	$18.68	$41.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $19.14 / $27.08	Professional		$18.67	$19.14	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $20.88	Facility		$16.70	$16.70	$20.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $27.64	Professional		$20.00	$20.00	$27.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $19.91	Facility		$19.91	$19.91	$19.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $19.91 / $19.91	Professional		$19.91	$19.91	$19.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $20.13 / $79.47	Facility		$19.54	$20.13	$79.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $32.51 / $332.00	Facility		$19.78	$32.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $26.99	Professional		$19.78	$19.78	$26.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Facility		$19.36	$19.36	$19.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $20.88	Professional		$19.36	$19.36	$20.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $597.00	Facility		$20.13	$20.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $20.65 / $27.91	Professional		$16.82	$20.65	$27.91
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $31.60	Professional		$20.88	$21.98	$31.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Facility		$19.36	$19.36	$19.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $20.88	Professional		$19.36	$19.36	$20.88