Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $37.54 / $61.54	Facility		$25.46	$37.54	$61.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $41.54	Professional		$25.46	$25.46	$41.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $20.37 / $25.46	Facility		$20.37	$20.37	$25.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $43.18	Professional		$25.46	$25.46	$43.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $31.52 / $33.10	Facility		$31.52	$31.52	$33.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $31.52 / $31.52	Professional		$31.52	$31.52	$31.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $33.50	Facility		$24.02	$24.02	$33.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $36.03 / $332.00	Facility		$24.02	$36.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $26.42 / $45.63	Professional		$26.42	$26.42	$45.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $26.42	Facility		$25.46	$25.46	$26.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $26.42	Professional		$25.46	$25.46	$26.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $555.00	Facility		$24.02	$24.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.72 / $47.79	Professional		$25.46	$28.72	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.52 / $43.81	Professional		$25.46	$28.52	$43.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Facility		$26.42	$26.42	$26.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $25.46 / $26.42	Professional		$19.22	$25.46	$26.42