Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $28.97 / $28.97	Facility		$6.87	$28.97	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $30.00 / $42.08	Professional		$28.96	$30.00	$42.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $32.36	Facility		$25.90	$25.90	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $29.14 / $45.85	Professional		$27.52	$29.14	$45.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $29.79	Facility		$28.37	$28.37	$29.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Professional		$28.37	$28.37	$28.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $29.02 / $101.39	Facility		$28.17	$29.02	$101.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $49.07 / $332.00	Facility		$30.67	$49.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $30.67 / $41.84	Professional		$30.67	$30.67	$41.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Facility		$29.95	$29.95	$29.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $32.36	Professional		$29.95	$29.95	$32.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $597.00	Facility		$29.02	$29.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $31.94 / $43.28	Professional		$24.16	$31.94	$43.28
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $43.39	Professional		$32.38	$34.08	$43.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Facility		$29.95	$29.95	$29.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $32.36	Professional		$29.95	$29.95	$32.36