Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $22.98 / $37.68	Facility		$18.84	$22.98	$37.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $28.82	Professional		$20.99	$20.99	$28.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $16.79 / $20.99	Facility		$16.79	$16.79	$20.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $34.15	Professional		$20.99	$20.99	$34.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $20.49 / $21.51	Facility		$20.49	$20.49	$21.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $20.49 / $20.49	Professional		$20.49	$20.49	$20.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $21.54	Facility		$19.80	$19.80	$21.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $29.70 / $332.00	Facility		$19.80	$29.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.77 / $27.13	Professional		$21.48	$22.77	$27.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $555.00	Facility		$19.80	$19.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $31.64	Professional		$20.99	$20.99	$31.64
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.99 / $28.33	Professional		$20.14	$20.99	$28.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99