Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $21.00 / $30.12	Facility		$16.88	$21.00	$30.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $26.15 / $27.51	Professional		$16.88	$26.15	$27.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $75.09	Facility		$37.54	$37.54	$75.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.46 / $70.27	Professional		$28.61	$31.46	$70.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Facility		$36.75	$36.75	$36.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $78.86 / $332.00	Facility		$37.54	$78.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $67.59 / $104.39	Professional		$37.54	$67.59	$104.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $173.72 / $173.72	Facility		$30.58	$173.72	$173.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $32.81 / $173.72	Professional		$30.58	$32.81	$173.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $25.50 / $66.98	Professional		$22.59	$25.50	$66.98
United Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $45.74 / $59.46	Facility		$45.74	$45.74	$59.46
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $38.44 / $58.95	Professional		$13.01	$38.44	$58.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $30.89	Facility		$30.89	$30.89	$30.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $32.81	Professional		$30.58	$30.58	$32.81