Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $25.48 / $49.33	Facility		$22.69	$25.48	$49.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $25.58 / $49.33	Professional		$22.69	$25.58	$49.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $26.13 / $77.08	Professional		$26.13	$26.13	$77.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $43.46 / $43.46	Facility		$40.42	$43.46	$43.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $43.46 / $43.46	Professional		$43.46	$43.46	$43.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $35.47	Facility		$34.45	$34.45	$35.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $35.47	Professional		$21.28	$29.28	$35.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $117.36 / $332.00	Facility		$52.16	$117.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $39.54 / $95.45	Professional		$30.77	$39.54	$95.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Facility		$39.54	$39.54	$39.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $43.46	Professional		$37.70	$37.70	$43.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $555.00	Facility		$34.45	$34.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $60.38	Professional		$21.28	$29.28	$60.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $26.02 / $44.01	Professional		$17.35	$26.02	$44.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $37.70 / $37.70	Facility		$37.33	$37.70	$37.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $39.54	Professional		$37.70	$37.70	$39.54