Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $69.18	Facility		$20.89	$28.84	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $81.28	Professional		$19.95	$23.99	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $37.15	Professional		$19.05	$23.44	$37.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $35.48	Professional		$31.62	$31.62	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $69.18	Professional		$18.20	$26.30	$69.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $81.28	Facility		$19.95	$19.95	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $54.95	Professional		$30.20	$40.74	$54.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $54.95	Professional		$18.20	$32.36	$54.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $91.20	Professional		$28.18	$36.31	$91.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $30.20	Professional		$19.50	$24.55	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $52.48	Professional		$19.50	$25.70	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $26.92	Facility		$18.62	$26.92	$26.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $54.95	Professional		$18.20	$30.90	$54.95