Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $50.70 / $76.05	Facility		$50.70	$50.70	$76.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $50.70 / $63.13	Professional		$43.73	$50.70	$63.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $22.60	Facility		$18.07	$18.07	$22.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $52.82 / $61.71	Professional		$36.19	$52.82	$61.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $25.34	Facility		$24.13	$24.13	$25.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Professional		$24.13	$24.13	$24.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $35.97 / $53.87	Facility		$34.93	$35.97	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $45.63 / $332.00	Facility		$21.32	$45.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.10 / $53.24	Professional		$34.11	$43.10	$53.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $56.00 / $56.00	Facility		$53.88	$56.00	$56.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $56.00 / $56.00	Professional		$53.88	$56.00	$56.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $597.00	Facility		$35.97	$35.97	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $51.84 / $53.87	Professional		$1.00	$51.84	$53.87
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $74.02	Professional		$52.82	$52.82	$74.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $53.88 / $53.88	Facility		$53.88	$53.88	$53.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $53.88 / $56.00	Professional		$13.09	$53.88	$56.00