Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $16.32 / $27.95	Facility		$12.22	$16.32	$27.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.67 / $25.17	Professional		$11.00	$15.67	$25.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $49.02	Professional		$13.76	$13.76	$49.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $23.54 / $23.54	Facility		$21.89	$23.54	$23.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $23.54 / $23.54	Professional		$23.54	$23.54	$23.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $46.10 / $332.00	Facility		$25.19	$46.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $34.01 / $54.66	Professional		$25.19	$34.01	$54.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $20.20 / $20.20	Facility		$18.29	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $19.43 / $20.20	Professional		$18.29	$19.43	$20.20
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.45 / $26.45	Professional		$26.45	$26.45	$26.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $597.00	Facility		$29.35	$29.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $45.38	Professional		$15.09	$15.09	$45.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $17.05 / $33.39	Professional		$8.81	$17.05	$33.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $22.64	Facility		$18.29	$18.29	$22.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $19.43 / $20.20	Professional		$18.29	$19.43	$20.20