Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $218.00 / $366.00	Facility		$14.16	$218.00	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.40 / $15.84	Professional		$10.38	$14.40	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $75.00 / $75.00	Professional		$5.00	$75.00	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $23.53 / $23.53	Facility		$23.53	$23.53	$23.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $23.53 / $23.53	Professional		$23.53	$23.53	$23.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $84.63 / $115.68	Professional		$14.00	$84.63	$115.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $32.40 / $236.00	Facility		$27.00	$32.40	$236.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $85.00	Professional		$45.00	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13.73 / $13.73	Facility		$13.73	$13.73	$13.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $12.99 / $68.00	Professional		$11.67	$12.99	$68.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $555.00 / $597.00	Facility		$21.25	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $68.00 / $114.99	Professional		$17.50	$68.00	$114.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $40.00 / $65.00	Professional		$12.43	$40.00	$65.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13.73 / $31.43	Facility		$13.73	$13.73	$31.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $13.73 / $51.16	Professional		$11.67	$13.73	$51.16