Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $17.42 / $24.02	Facility		$11.33	$17.42	$24.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.55 / $28.72	Professional		$11.21	$17.55	$28.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $44.73 / $59.64	Facility		$29.82	$44.73	$59.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $40.90	Professional		$14.40	$14.40	$40.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $24.84 / $24.84	Facility		$23.10	$24.84	$24.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $24.84 / $24.84	Professional		$24.84	$24.84	$24.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $39.31	Facility		$18.96	$18.96	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $21.07	Professional		$16.12	$16.12	$21.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $107.74 / $332.00	Facility		$34.29	$107.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $31.31 / $54.57	Professional		$17.59	$31.31	$54.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $21.46 / $24.84	Professional		$20.20	$21.46	$24.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $555.00	Facility		$18.96	$18.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $47.71	Professional		$16.12	$16.12	$47.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $16.04 / $26.84	Professional		$9.92	$16.04	$26.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $33.92	Facility		$20.20	$20.20	$33.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $21.46	Professional		$20.20	$20.20	$21.46