Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $22.01 / $36.08	Facility		$16.54	$22.01	$36.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $24.35	Professional		$16.54	$16.54	$24.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $23.49	Professional		$16.54	$16.54	$23.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $10.01 / $10.51	Facility		$10.01	$10.01	$10.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $10.01 / $10.01	Professional		$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $15.60 / $16.54	Facility		$9.48	$15.60	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $23.40 / $332.00	Facility		$15.60	$23.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $17.95 / $43.37	Professional		$17.95	$17.95	$43.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $17.17	Facility		$16.54	$16.54	$17.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $17.17	Professional		$16.54	$16.54	$17.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $15.60 / $555.00	Facility		$9.48	$15.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.54 / $25.23	Professional		$14.00	$16.54	$25.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $29.81	Professional		$16.54	$16.54	$29.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $17.17 / $17.17	Facility		$17.17	$17.17	$17.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $16.54 / $17.17	Professional		$11.71	$16.54	$17.17