Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $17.61 / $34.85	Facility		$16.04	$17.61	$34.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.68 / $34.85	Professional		$13.70	$17.68	$34.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $50.85	Professional		$16.63	$16.63	$50.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $30.70 / $30.70	Facility		$28.55	$30.70	$30.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $22.13	Facility		$18.29	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.04	Professional		$18.80	$18.80	$26.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $82.91 / $332.00	Facility		$36.85	$82.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $30.95 / $67.44	Professional		$19.04	$30.95	$67.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $22.65 / $30.70	Professional		$21.32	$22.65	$30.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $555.00	Facility		$18.29	$22.13	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.13 / $53.44	Professional		$18.80	$22.13	$53.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $18.38 / $33.70	Professional		$12.26	$18.38	$33.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $21.32 / $26.39	Facility		$21.32	$21.32	$26.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $21.32 / $22.65	Professional		$21.32	$21.32	$22.65