Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $19.01 / $31.16	Facility		$15.58	$19.01	$31.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $18.85	Professional		$16.07	$16.07	$18.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $16.07	Facility		$12.86	$12.86	$16.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $78.80	Professional		$16.07	$16.07	$78.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $78.80 / $86.68	Facility		$78.80	$78.80	$86.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $15.17 / $15.17	Facility		$3.71	$15.17	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $22.76 / $332.00	Facility		$15.17	$22.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $42.17	Professional		$16.07	$16.07	$42.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $60.00 / $60.00	Facility		$16.68	$60.00	$60.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $60.00 / $60.00	Professional		$16.68	$60.00	$60.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $15.17 / $555.00	Facility		$3.71	$15.17	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.07 / $38.28	Professional		$13.00	$16.07	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $85.27	Professional		$16.07	$16.07	$85.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Facility		$16.68	$16.68	$16.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $16.68 / $60.00	Professional		$10.97	$16.68	$60.00