Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $34.18 / $201.65	Facility		$20.03	$34.18	$201.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $22.05 / $30.54	Professional		$17.94	$22.05	$30.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $20.43 / $31.93	Professional		$16.35	$20.43	$31.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $29.09 / $29.09	Facility		$29.09	$29.09	$29.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $29.09 / $32.43	Professional		$29.09	$29.09	$32.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.00 / $62.38	Professional		$16.00	$23.00	$62.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $319.00	Facility		$18.16	$18.16	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $34.45 / $49.78	Professional		$24.74	$34.45	$49.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $19.45 / $22.94	Facility		$19.45	$19.45	$22.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $28.80 / $49.15	Professional		$18.71	$28.80	$49.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $555.00	Facility		$35.11	$35.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $24.00 / $58.86	Professional		$16.39	$24.00	$58.86
Optum Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.87 / $26.40	Professional		$17.89	$21.87	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $24.30 / $52.25	Professional		$18.67	$24.30	$52.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $24.31 / $24.31	Facility		$22.94	$24.31	$24.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $31.09 / $51.68	Professional		$22.94	$31.09	$51.68