Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $16.42 / $28.05	Facility		$11.66	$16.42	$28.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.42 / $25.34	Professional		$11.66	$16.42	$25.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $43.00	Professional		$11.90	$11.90	$43.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $22.32 / $22.32	Facility		$20.76	$22.32	$22.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $49.03 / $332.00	Facility		$26.79	$49.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $36.17 / $58.13	Professional		$26.79	$36.17	$58.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $5.63 / $15.50	Facility		$5.63	$5.63	$15.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $15.50 / $16.47	Professional		$5.63	$15.50	$16.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $3.77 / $3.77	Professional		$3.77	$3.77	$3.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $597.00	Facility		$31.39	$31.39	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $39.53	Professional		$10.93	$12.04	$39.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.07 / $30.08	Professional		$8.91	$16.07	$30.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $19.19	Facility		$15.50	$15.50	$19.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $15.50 / $16.47	Professional		$5.63	$15.50	$16.47