Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $26.52 / $45.31	Facility		$18.82	$26.52	$45.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $22.35 / $40.92	Professional		$12.70	$22.35	$40.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.20 / $61.77	Professional		$17.80	$19.20	$61.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $36.04 / $36.04	Facility		$33.53	$36.04	$36.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Professional		$36.04	$36.04	$36.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $79.18 / $332.00	Facility		$43.27	$79.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $58.41 / $93.90	Professional		$25.01	$58.41	$93.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $25.02	Facility		$4.55	$4.55	$25.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $25.02 / $26.58	Professional		$4.55	$25.02	$26.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $597.00	Facility		$50.71	$50.71	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $74.12	Professional		$22.09	$22.09	$74.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $22.12	Professional		$15.00	$15.00	$22.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $30.96	Facility		$25.02	$25.02	$30.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $25.02 / $26.58	Professional		$4.55	$25.02	$26.58