Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $22.44 / $36.78	Facility		$18.14	$22.44	$36.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $24.83	Professional		$18.14	$18.14	$24.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $18.14	Facility		$14.52	$14.52	$18.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $18.14 / $23.13	Professional		$16.66	$18.14	$23.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $16.19	Facility		$15.42	$15.42	$16.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $15.42	Professional		$15.42	$15.42	$15.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $17.12 / $18.14	Facility		$15.63	$17.12	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $25.68 / $332.00	Facility		$17.12	$25.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $31.19	Professional		$19.69	$19.69	$31.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Facility		$18.14	$18.14	$18.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $17.12 / $555.00	Facility		$15.63	$17.12	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.14 / $24.78	Professional		$17.69	$18.14	$24.78
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.32 / $29.42	Professional		$18.14	$20.32	$29.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Facility		$18.14	$18.14	$18.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14