Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $21.46 / $35.18	Facility		$16.84	$21.46	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $23.75	Professional		$16.84	$16.84	$23.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $13.47 / $16.84	Facility		$13.47	$13.47	$16.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $16.84 / $23.98	Professional		$16.28	$16.84	$23.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $15.49	Facility		$14.75	$14.75	$15.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $15.89 / $16.84	Facility		$14.85	$15.89	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $23.84 / $332.00	Facility		$15.89	$23.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $18.27 / $30.01	Professional		$18.27	$18.27	$30.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $15.89 / $555.00	Facility		$14.85	$15.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $23.08	Professional		$16.84	$16.84	$23.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.86 / $26.38	Professional		$16.84	$18.86	$26.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84