Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $21.28 / $34.88	Facility		$17.44	$21.28	$34.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.78 / $24.19	Professional		$17.62	$17.78	$24.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $14.10 / $17.62	Facility		$14.10	$14.10	$17.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.62 / $17.62	Professional		$17.02	$17.62	$17.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $29.88 / $32.86	Facility		$29.88	$29.88	$32.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Professional		$29.88	$29.88	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $32.33	Facility		$16.62	$16.62	$32.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $24.93 / $332.00	Facility		$16.62	$24.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $19.11 / $26.50	Professional		$19.11	$19.11	$26.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $17.62 / $17.62	Facility		$8.75	$17.62	$17.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $17.62 / $17.62	Professional		$8.75	$17.62	$17.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $555.00	Facility		$16.62	$16.62	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $25.03	Professional		$17.62	$17.62	$25.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $30.43	Professional		$17.62	$17.62	$30.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $17.62 / $257.41	Professional		$8.75	$17.62	$257.41