Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $22.22 / $36.42	Facility		$18.21	$22.22	$36.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $219.20	Professional		$18.30	$18.48	$219.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $14.64 / $18.30	Facility		$14.64	$14.64	$18.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $18.30 / $18.88	Professional		$17.11	$18.30	$18.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $17.63 / $18.51	Facility		$17.63	$17.63	$18.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $17.63	Professional		$17.63	$17.63	$17.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $18.97	Facility		$17.26	$17.26	$18.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $25.89 / $332.00	Facility		$17.26	$25.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $18.98 / $27.33	Professional		$18.98	$18.98	$27.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Facility		$18.30	$18.30	$18.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $555.00	Facility		$17.26	$17.26	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $25.43	Professional		$18.30	$18.30	$25.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $24.70	Professional		$18.30	$18.30	$24.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Facility		$18.30	$18.30	$18.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30