Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $20.37 / $34.79	Facility		$14.46	$20.37	$34.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $20.37 / $31.43	Professional		$14.46	$20.37	$31.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $53.32	Professional		$14.27	$14.27	$53.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $27.69 / $27.69	Facility		$25.75	$27.69	$27.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $27.69	Professional		$27.69	$27.69	$27.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Facility		$38.94	$38.94	$38.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $60.81 / $332.00	Facility		$33.22	$60.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $44.86 / $72.11	Professional		$33.22	$44.86	$72.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $19.21	Facility		$18.96	$18.96	$19.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $19.21 / $20.41	Professional		$18.96	$19.21	$20.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $597.00	Facility		$38.94	$38.94	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $49.05	Professional		$13.56	$18.01	$49.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $18.98 / $36.69	Professional		$11.05	$18.98	$36.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $19.21 / $23.78	Facility		$19.21	$19.21	$23.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $19.21 / $20.41	Professional		$18.96	$19.21	$20.41