Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $25.49 / $43.47	Facility		$19.76	$25.49	$43.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.91	Professional		$21.70	$21.70	$23.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $17.36 / $21.70	Facility		$17.36	$17.36	$21.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $63.90	Professional		$21.70	$21.70	$63.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $41.24 / $43.30	Facility		$41.24	$41.24	$43.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $41.24 / $41.24	Professional		$41.24	$41.24	$41.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $43.64 / $85.00	Facility		$20.47	$43.64	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $34.15	Professional		$21.70	$21.70	$34.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $33.78 / $332.00	Facility		$23.54	$33.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $23.54 / $32.57	Professional		$22.52	$23.54	$32.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $22.52	Facility		$21.70	$21.70	$22.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.52 / $22.52	Professional		$21.70	$22.52	$22.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $44.95 / $85.00	Facility		$20.47	$44.95	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $86.00	Professional		$21.70	$21.70	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $22.79 / $32.31	Professional		$21.55	$22.79	$32.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Facility		$22.52	$22.52	$22.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.52 / $22.52	Professional		$21.70	$22.52	$22.52