Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $19.23 / $37.25	Facility		$17.14	$19.23	$37.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.30 / $37.25	Professional		$17.14	$19.30	$37.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $58.20	Professional		$19.73	$19.73	$58.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $32.82 / $32.82	Facility		$30.52	$32.82	$32.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $32.82 / $32.82	Professional		$32.82	$32.82	$32.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.85	Facility		$26.07	$26.07	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $26.07	Professional		$16.07	$22.16	$26.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $88.61 / $332.00	Facility		$39.38	$88.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $29.87 / $72.06	Professional		$23.23	$29.87	$72.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $29.87 / $29.87	Facility		$29.87	$29.87	$29.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $32.82	Professional		$28.47	$28.47	$32.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $555.00	Facility		$26.07	$26.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $46.74	Professional		$16.07	$22.16	$46.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $19.64 / $33.47	Professional		$13.10	$19.64	$33.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $28.47 / $28.47	Facility		$28.19	$28.47	$28.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $29.87	Professional		$28.47	$28.47	$29.87