Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $22.42 / $29.15	Facility		$12.12	$22.42	$29.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.07 / $26.33	Professional		$12.12	$17.07	$26.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $44.67	Professional		$12.35	$12.35	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $23.20 / $23.20	Facility		$21.58	$23.20	$23.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Professional		$23.20	$23.20	$23.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $32.63 / $32.63	Facility		$32.63	$32.63	$32.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $50.95 / $332.00	Facility		$27.84	$50.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $37.58 / $60.41	Professional		$27.84	$37.58	$60.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $19.50 / $19.50	Facility		$16.10	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $17.10 / $19.50	Professional		$16.10	$17.10	$19.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $32.63 / $597.00	Facility		$32.63	$32.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $47.69	Professional		$14.22	$14.22	$47.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.24 / $30.75	Professional		$9.26	$14.24	$30.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $19.92	Facility		$16.10	$16.10	$19.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $17.10 / $19.50	Professional		$16.10	$17.10	$19.50