Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.30 / $42.74	Facility		$19.00	$19.30	$42.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.16 / $42.74	Professional		$19.00	$22.16	$42.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $90.52	Facility		$45.26	$45.26	$90.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $27.87 / $72.78	Professional		$27.87	$27.87	$72.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $37.01 / $37.01	Facility		$34.42	$37.01	$37.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $37.01 / $37.01	Professional		$37.01	$37.01	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $33.58	Professional		$20.81	$20.81	$33.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $101.84 / $332.00	Facility		$45.26	$101.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $33.95 / $82.83	Professional		$26.34	$33.95	$82.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $24.52 / $37.01	Professional		$23.07	$24.52	$37.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $555.00	Facility		$28.50	$28.50	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $27.18 / $65.63	Professional		$20.81	$27.18	$65.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $25.84 / $39.18	Professional		$14.21	$25.84	$39.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $23.07 / $30.36	Facility		$23.07	$23.07	$30.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $23.07 / $32.93	Professional		$23.07	$23.07	$32.93