Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $33.99 / $55.72	Facility		$25.59	$33.99	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.61 / $47.30	Professional		$25.59	$26.61	$47.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $38.99	Professional		$25.59	$25.59	$38.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $21.78 / $22.87	Facility		$21.78	$21.78	$22.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.78 / $21.78	Professional		$21.78	$21.78	$21.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $25.59	Facility		$24.14	$24.14	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $36.21 / $332.00	Facility		$24.14	$36.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $27.76 / $37.96	Professional		$27.76	$27.76	$37.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $26.56	Facility		$25.59	$25.59	$26.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $26.56	Professional		$25.59	$25.59	$26.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $555.00	Facility		$24.14	$24.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $34.51	Professional		$25.59	$25.59	$34.51
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $35.86	Professional		$25.59	$25.59	$35.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $26.56 / $26.56	Facility		$26.56	$26.56	$26.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.56 / $27.47	Professional		$25.59	$26.56	$27.47