Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $44.82 / $73.48	Facility		$36.74	$44.82	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $49.60	Professional		$36.77	$36.77	$49.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $29.42 / $36.77	Facility		$29.42	$29.42	$36.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $36.77 / $40.04	Professional		$30.92	$36.77	$40.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $30.02 / $31.52	Facility		$30.02	$30.02	$31.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $30.02	Professional		$30.02	$30.02	$30.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $34.68 / $36.77	Facility		$30.86	$34.68	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $52.02 / $332.00	Facility		$34.68	$52.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $48.91	Professional		$39.89	$39.89	$48.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $38.15	Facility		$36.77	$36.77	$38.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $38.15	Professional		$36.77	$36.77	$38.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $34.68 / $555.00	Facility		$30.86	$34.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $36.77 / $48.59	Professional		$35.99	$36.77	$48.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $53.16	Professional		$36.77	$36.77	$53.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $38.15	Professional		$36.77	$36.77	$38.15