Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $25.52 / $14,029.90	Facility		$12.99	$25.52	$14,029.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.29 / $31.52	Professional		$12.99	$13.29	$31.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $12.99	Facility		$10.39	$10.39	$12.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.99 / $21.38	Professional		$12.59	$12.99	$21.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $12.20	Facility		$11.62	$11.62	$12.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $11.62	Professional		$11.62	$11.62	$11.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $12.99	Facility		$12.26	$12.26	$12.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $18.39 / $332.00	Facility		$12.26	$18.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $17.62	Professional		$14.10	$14.10	$17.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $13.24	Facility		$12.99	$12.99	$13.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.24	Professional		$12.99	$12.99	$13.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $555.00	Facility		$12.26	$12.26	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $18.30	Professional		$12.99	$12.99	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $19.57	Professional		$12.99	$12.99	$19.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.24	Professional		$12.99	$12.99	$13.24