Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $21.73 / $175.62	Facility		$9.99	$21.73	$175.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $14.08 / $21.73	Professional		$9.99	$14.08	$21.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $36.84	Professional		$10.19	$10.19	$36.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $19.14 / $19.14	Facility		$17.80	$19.14	$19.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Facility		$26.93	$26.93	$26.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $42.05 / $332.00	Facility		$22.98	$42.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $31.02 / $49.87	Professional		$22.98	$31.02	$49.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $6.49 / $13.28	Facility		$6.49	$6.49	$13.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $13.28 / $14.11	Professional		$6.49	$13.28	$14.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $26.93 / $597.00	Facility		$26.93	$26.93	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $39.35	Professional		$11.73	$11.73	$39.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $13.12 / $25.37	Professional		$7.64	$13.12	$25.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $16.44	Facility		$13.28	$13.28	$16.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $13.28 / $14.11	Professional		$6.49	$13.28	$14.11