Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.79 / $57.04	Facility		$28.52	$34.79	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $38.50	Professional		$28.68	$28.68	$38.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $28.68	Facility		$22.94	$22.94	$28.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $28.68 / $28.68	Professional		$22.50	$28.68	$28.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $24.40 / $25.62	Facility		$24.40	$24.40	$25.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $24.40 / $24.40	Professional		$24.40	$24.40	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $27.06 / $28.68	Facility		$25.07	$27.06	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $40.59 / $332.00	Facility		$27.06	$40.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $37.07	Professional		$29.76	$29.76	$37.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $29.76	Facility		$28.68	$28.68	$29.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $29.76	Professional		$28.68	$28.68	$29.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $27.06 / $555.00	Facility		$25.07	$27.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $40.02	Professional		$28.68	$28.68	$40.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $43.02	Professional		$28.68	$28.68	$43.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $29.76	Professional		$28.68	$28.68	$29.76