Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $145.75 / $6,361.01	Facility		$25.33	$145.75	$6,361.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $161.29	Professional		$25.33	$25.33	$161.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $25.33	Facility		$20.26	$20.26	$25.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $574.05	Professional		$25.33	$25.33	$574.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $382.78 / $382.78 / $401.92	Facility		$382.78	$382.78	$401.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $382.78 / $382.78	Professional		$382.78	$382.78	$382.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $387.40	Facility		$23.90	$23.90	$387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $35.85 / $332.00	Facility		$23.90	$35.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $41.27	Professional		$26.29	$26.29	$41.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $26.29	Facility		$25.33	$25.33	$26.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $26.29	Professional		$25.33	$25.33	$26.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $568.26	Facility		$23.90	$23.90	$568.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $37.08 / $369.79	Professional		$25.33	$37.08	$369.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.85 / $48.41	Professional		$25.33	$26.85	$48.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Facility		$26.29	$26.29	$26.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.29 / $304.52	Professional		$25.33	$26.29	$304.52