Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $40.51 / $138.12	Facility		$18.64	$40.51	$138.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $20.09 / $40.51	Professional		$13.24	$20.09	$40.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $21.47 / $63.66	Professional		$21.47	$21.47	$63.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $35.69 / $35.69	Facility		$33.19	$35.69	$35.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $35.69 / $35.69	Professional		$35.69	$35.69	$35.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Facility		$29.06	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $36.34	Professional		$24.70	$24.70	$36.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $96.37 / $332.00	Facility		$42.83	$96.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $35.79 / $78.38	Professional		$23.95	$35.79	$78.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $29.94	Facility		$29.94	$29.94	$29.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $30.98 / $35.69	Professional		$29.94	$30.98	$35.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $555.00	Facility		$29.06	$29.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $28.46 / $63.82	Professional		$24.70	$28.46	$63.82
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $24.13 / $39.27	Professional		$14.25	$24.13	$39.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.98 / $30.98	Facility		$30.67	$30.98	$30.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $30.98 / $30.98	Professional		$29.94	$30.98	$30.98