Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $21.36 / $35.02	Facility		$17.51	$21.36	$35.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.44 / $25.32	Professional		$17.69	$18.44	$25.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $31.50	Professional		$18.44	$18.44	$31.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $22.63 / $23.76	Facility		$22.63	$22.63	$23.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $22.63 / $22.63	Professional		$22.63	$22.63	$22.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $23.13	Facility		$17.39	$17.39	$23.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $26.10 / $332.00	Facility		$17.39	$26.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $23.84	Professional		$20.00	$20.00	$23.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.79	Facility		$18.44	$18.44	$18.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.79	Professional		$18.44	$18.44	$18.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $555.00	Facility		$17.39	$17.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $18.44 / $33.60	Professional		$4.00	$18.44	$33.60
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $26.75	Professional		$18.44	$18.44	$26.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Facility		$18.79	$18.79	$18.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $18.44 / $18.79	Professional		$8.60	$18.44	$18.79