Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $18.92 / $31.49	Facility		$15.43	$18.92	$31.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.27 / $24.70	Professional		$15.43	$18.27	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.76 / $33.85	Professional		$13.50	$16.76	$33.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Facility		$25.41	$25.41	$25.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Professional		$25.41	$25.41	$25.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $25.72 / $55.03	Professional		$15.25	$25.72	$55.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $27.06 / $332.00	Facility		$10.00	$27.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $23.33 / $36.90	Professional		$17.21	$23.33	$36.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $18.79	Facility		$16.39	$16.39	$18.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $21.98 / $37.36	Professional		$13.52	$21.98	$37.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $24.14 / $49.38	Professional		$17.75	$24.14	$49.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $19.72 / $40.06	Professional		$15.10	$19.72	$40.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $18.79 / $49.51	Facility		$16.39	$18.79	$49.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $21.94 / $44.59	Professional		$13.52	$21.94	$44.59