Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $62.46 / $363.00	Facility		$10.54	$62.46	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.90 / $29.34	Professional		$10.34	$13.90	$29.34
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $12.70 / $17.45	Professional	CQ	$12.70	$12.70	$17.45
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 $13.08 / $19.95 / $75.00	Professional		$13.08	$19.95	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $80.00 / $226.00	Facility		$22.96	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $57.81 / $116.06	Professional		$13.37	$57.81	$116.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $42.00 / $332.00	Facility		$21.22	$42.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $45.00 / $78.67	Professional		$23.77	$45.00	$78.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.05 / $21.23	Facility		$16.98	$21.05	$21.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $18.02 / $40.00	Professional		$14.86	$18.02	$40.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $555.00 / $597.00	Facility		$22.96	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $27.85 / $106.98	Professional		$18.16	$27.85	$106.98
United Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.00 / $35.67	Professional		$13.24	$17.00	$35.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.92 / $54.04	Facility		$16.98	$19.92	$54.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $19.92 / $54.04	Professional		$14.86	$19.92	$54.04