Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $26.02 / $39.03	Facility		$26.02	$26.02	$39.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $26.02 / $27.64	Professional		$22.44	$26.02	$27.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $27.10 / $27.10	Professional		$24.35	$27.10	$27.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $25.00	Facility		$22.73	$22.73	$25.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $22.73 / $22.73	Professional		$22.73	$22.73	$22.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $24.59 / $27.64	Facility		$23.88	$24.59	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $47.82	Facility		$27.64	$27.64	$47.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $31.79	Professional		$27.64	$27.64	$31.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $28.72 / $28.72	Facility		$27.64	$28.72	$28.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $28.72 / $28.72	Professional		$27.64	$28.72	$28.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $597.00	Facility		$24.59	$24.59	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $39.14	Professional		$27.64	$27.64	$39.14
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $36.58	Professional		$27.10	$27.10	$36.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $27.64 / $28.72	Professional		$21.82	$27.64	$28.72