Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $18.22 / $28.92	Facility		$14.46	$18.22	$28.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $16.22 / $17.50	Professional		$15.18	$16.22	$17.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $76.88	Professional		$16.22	$16.22	$76.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.01 / $28.36	Facility		$27.01	$27.01	$28.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $27.01 / $27.01	Professional		$27.01	$27.01	$27.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $31.74	Facility		$15.30	$16.22	$31.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $27.54 / $332.00	Facility		$17.59	$27.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.59 / $97.29	Professional		$14.08	$17.59	$97.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.52	Facility		$16.22	$16.22	$16.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.52	Professional		$16.22	$16.22	$16.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $220.20	Facility		$15.30	$16.22	$220.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $28.10	Professional		$6.49	$16.22	$28.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.52 / $73.18	Professional		$16.22	$16.52	$73.18