Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $22.31 / $36.58	Facility		$18.16	$22.31	$36.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $22.13	Professional		$18.16	$18.16	$22.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $18.16	Facility		$14.53	$14.53	$18.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.16 / $21.58	Professional		$16.89	$18.16	$21.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $16.12 / $16.93	Facility		$16.12	$16.12	$16.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Professional		$16.12	$16.12	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $17.13 / $18.16	Facility		$16.30	$17.13	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $25.70 / $332.00	Facility		$17.13	$25.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $19.70 / $24.08	Professional		$19.70	$19.70	$24.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $18.84	Facility		$18.16	$18.16	$18.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.84	Professional		$18.16	$18.16	$18.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $17.13 / $555.00	Facility		$16.30	$17.13	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $24.84	Professional		$18.16	$18.16	$24.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $18.16 / $23.61	Professional		$17.96	$18.16	$23.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Facility		$18.84	$18.84	$18.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.84	Professional		$18.16	$18.16	$18.84