Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $14.41 / $24.61	Facility		$10.22	$14.41	$24.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $14.41 / $22.23	Professional		$10.22	$14.41	$22.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $37.68	Professional		$10.43	$10.43	$37.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $19.57 / $19.57	Facility		$18.21	$19.57	$19.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $43.01 / $332.00	Facility		$23.50	$43.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $31.73 / $51.00	Professional		$23.50	$31.73	$51.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $13.59	Facility		$11.37	$11.37	$13.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $13.59 / $14.44	Professional		$11.37	$13.59	$14.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $597.00	Facility		$27.54	$27.54	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $40.25	Professional		$12.00	$12.00	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $14.10 / $25.40	Professional		$7.82	$14.10	$25.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $13.59 / $16.82	Facility		$13.59	$13.59	$16.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $13.59 / $14.44	Professional		$11.37	$13.59	$14.44