Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $23.02 / $31.88	Facility		$15.05	$23.02	$31.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.29 / $38.11	Professional		$14.87	$23.29	$38.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $59.36 / $79.14	Facility		$39.57	$59.36	$79.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $57.75	Professional		$19.64	$19.64	$57.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $32.97 / $32.97	Facility		$30.66	$32.97	$32.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $32.97 / $32.97	Professional		$32.97	$32.97	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $68.48	Facility		$25.17	$25.17	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $29.37	Professional		$21.39	$21.39	$29.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $142.97 / $332.00	Facility		$45.51	$142.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $41.55 / $72.41	Professional		$23.35	$41.55	$72.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $28.50 / $32.97	Professional		$26.83	$28.50	$32.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $555.00	Facility		$25.17	$25.17	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $58.96	Professional		$21.39	$21.39	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.73 / $36.28	Professional		$13.16	$19.73	$36.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $26.83 / $50.04	Facility		$26.83	$26.83	$50.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $26.83 / $28.50	Professional		$26.83	$26.83	$28.50