Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $32.22 / $142.24	Facility		$12.11	$32.22	$142.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $17.22 / $32.22	Professional		$13.12	$17.22	$32.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $48.58	Professional		$15.93	$15.93	$48.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $28.39 / $28.39	Facility		$26.40	$28.39	$28.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Professional		$28.39	$28.39	$28.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $27.42	Professional		$18.04	$18.04	$27.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $76.68 / $332.00	Facility		$34.08	$76.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $26.14 / $62.37	Professional		$17.60	$26.14	$62.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Facility		$11.85	$11.85	$11.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $19.72 / $24.44	Professional		$11.85	$19.72	$24.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $555.00	Facility		$12.60	$21.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $21.22 / $50.78	Professional		$18.04	$21.22	$50.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $17.47 / $31.20	Professional		$11.33	$17.47	$31.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $19.72 / $24.40	Facility		$19.72	$19.72	$24.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $19.72 / $20.95	Professional		$11.85	$19.72	$20.95