Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $20.22 / $6,759.48	Facility		$15.55	$20.22	$6,759.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $20.99	Professional		$15.61	$15.61	$20.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $15.61	Facility		$12.49	$12.49	$15.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $15.61 / $20.64	Professional		$14.70	$15.61	$20.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $16.68	Facility		$15.89	$15.89	$16.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Professional		$15.89	$15.89	$15.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $16.48	Facility		$14.73	$14.73	$16.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $22.10 / $332.00	Facility		$14.73	$22.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $22.63	Professional		$16.20	$16.20	$22.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $16.20	Facility		$15.61	$15.61	$16.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $16.20	Professional		$15.61	$15.61	$16.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $555.00	Facility		$14.73	$14.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $22.17	Professional		$15.61	$15.61	$22.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.87	Professional		$15.61	$15.61	$21.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Facility		$16.20	$16.20	$16.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $16.20	Professional		$15.61	$15.61	$16.20