Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $37.29 / $61.27	Facility		$23.88	$37.29	$61.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.82	Professional		$23.88	$23.88	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $23.88	Facility		$19.10	$19.10	$23.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $72.98	Professional		$23.88	$23.88	$72.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $29.40 / $30.87	Facility		$29.40	$29.40	$30.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $29.40	Professional		$29.40	$29.40	$29.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $31.78 / $85.00	Facility		$22.53	$31.78	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.86	Professional		$23.88	$23.88	$35.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $41.93 / $332.00	Facility		$25.91	$41.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $25.90 / $35.82	Professional		$24.78	$25.90	$35.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $24.33	Facility		$23.88	$23.88	$24.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.33 / $24.33	Professional		$23.88	$24.33	$24.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $32.72 / $85.00	Facility		$22.53	$32.72	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $175.00	Professional		$23.88	$23.88	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $35.82	Professional		$23.88	$25.31	$35.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $24.33 / $24.33	Facility		$24.33	$24.33	$24.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.33 / $24.33	Professional		$23.88	$24.33	$24.33