Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $19.00 / $2,870.03	Facility		$15.08	$19.00	$2,870.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.23 / $3,261.96	Professional		$15.11	$15.23	$3,261.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $15.11	Facility		$12.09	$12.09	$15.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $15.11 / $17.80	Professional		$13.96	$15.11	$17.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $12.65 / $13.28	Facility		$12.65	$12.65	$13.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $12.65	Professional		$12.65	$12.65	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $14.26 / $15.11	Facility		$12.85	$14.26	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $21.39 / $332.00	Facility		$14.26	$21.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $19.54	Professional		$16.39	$16.39	$19.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.40	Facility		$15.11	$15.11	$15.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.40	Professional		$15.11	$15.11	$15.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $14.26 / $555.00	Facility		$12.85	$14.26	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.11 / $20.76	Professional		$14.73	$15.11	$20.76
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $20.39	Professional		$15.11	$15.11	$20.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $15.11 / $15.40	Professional		$7.40	$15.11	$15.40