Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.18 / $40.77	Facility		$27.18	$27.18	$40.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $27.18 / $33.84	Professional		$23.45	$27.18	$33.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $30.02	Facility		$24.02	$24.02	$30.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $30.38	Professional		$28.32	$28.32	$30.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $31.49	Facility		$29.99	$29.99	$31.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Professional		$29.99	$29.99	$29.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $31.82 / $36.79	Facility		$28.88	$31.82	$36.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $42.48 / $332.00	Facility		$28.32	$42.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $38.79	Professional		$28.88	$28.88	$38.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $30.02 / $30.02	Facility		$28.89	$30.02	$30.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $30.02 / $30.02	Professional		$28.89	$30.02	$30.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $31.82 / $597.00	Facility		$28.88	$31.82	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $43.15	Professional		$28.88	$28.88	$43.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $38.22	Professional		$28.32	$28.32	$38.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $30.02 / $40.65	Professional		$28.89	$30.02	$40.65