Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $40.74	Facility		$12.02	$28.18	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.12 / $33.11	Professional		$12.88	$25.12	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Facility		$35.48	$35.48	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $52.48	Professional		$10.00	$12.88	$52.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $29.51	Facility		$20.89	$20.89	$29.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $53,703.18	Facility		$56.23	$56.23	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $169.82	Professional		$28.84	$28.84	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $138.04	Facility		$36.31	$60.26	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $102.33	Professional		$32.36	$64.57	$102.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50,118.72 / $75,857.76	Facility		$39.81	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $30.20 / $54.95	Professional		$11.75	$30.20	$54.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $32.36	Professional		$20.42	$20.42	$32.36