Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $18.19 / $29.82	Facility		$14.85	$18.19	$29.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $20.13	Professional		$14.85	$14.85	$20.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $14.84	Facility		$11.87	$11.87	$14.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.85 / $28.64	Professional		$14.00	$14.85	$28.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.30 / $13.97	Facility		$13.30	$13.30	$13.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $15.89	Facility		$14.00	$14.00	$15.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Professional		$14.84	$14.84	$14.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $21.00 / $332.00	Facility		$14.00	$21.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $24.50	Professional		$16.11	$16.11	$24.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $15.41	Facility		$14.85	$14.85	$15.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $15.41	Professional		$14.85	$14.85	$15.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $555.00	Facility		$14.00	$14.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $20.56	Professional		$14.84	$14.84	$20.56
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.63 / $23.11	Professional		$14.85	$16.63	$23.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $15.41 / $15.41	Facility		$15.41	$15.41	$15.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $15.41	Professional		$14.85	$14.85	$15.41