Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $17.34 / $28.42	Facility		$14.21	$17.34	$28.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $17.19	Professional		$14.23	$14.23	$17.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $11.38 / $14.23	Facility		$11.38	$11.38	$14.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.39	Professional		$14.23	$14.23	$14.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $14.23	Facility		$13.43	$13.43	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $20.14 / $332.00	Facility		$13.43	$20.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $24.58	Professional		$14.23	$14.23	$24.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Facility		$14.23	$14.23	$14.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $597.00	Facility		$13.43	$13.43	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $20.14	Professional		$14.23	$14.23	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.94 / $22.29	Professional		$14.23	$15.94	$22.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Facility		$14.23	$14.23	$14.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23