Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $43.02 / $57.76	Facility		$23.33	$43.02	$57.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $29.45 / $41.91	Professional		$21.89	$29.45	$41.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $90.00 / $120.00	Facility		$60.00	$90.00	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $29.49 / $59.65	Professional		$21.31	$29.49	$59.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $34.61	Facility		$34.61	$34.61	$34.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $34.61 / $45.60	Professional		$34.61	$34.61	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $41.44 / $102.21	Professional		$23.02	$41.44	$102.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $20.76 / $319.00	Facility		$20.76	$20.76	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $47.80 / $62.56	Professional		$33.89	$47.80	$62.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $23.76 / $30.39	Facility		$23.76	$23.76	$30.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $39.99 / $68.26	Professional		$25.79	$39.99	$68.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $555.00	Facility		$38.79	$38.79	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $43.30 / $98.43	Professional		$24.61	$43.30	$98.43
United Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $51.68	Facility		$22.97	$22.97	$51.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $37.29 / $94.60	Professional		$28.52	$37.29	$94.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $30.39	Facility		$23.06	$23.06	$30.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $41.18 / $68.26	Professional		$26.32	$41.18	$68.26