Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $32.84	Facility		$21.18	$21.18	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $21.98 / $23.39	Professional		$18.27	$21.98	$23.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $18.71 / $23.39	Facility		$18.71	$18.71	$23.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $25.66	Professional		$22.07	$22.07	$25.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $24.56	Facility		$23.39	$23.39	$24.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $23.39 / $23.39	Professional		$23.39	$23.39	$23.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $24.81	Facility		$22.51	$22.51	$24.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $33.44 / $332.00	Facility		$22.29	$33.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $22.29 / $28.54	Professional		$22.29	$22.29	$28.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $23.39 / $23.39	Facility		$22.51	$23.39	$23.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $23.39	Professional		$22.51	$22.51	$23.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $24.09 / $555.00	Facility		$22.51	$24.09	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.39 / $30.29	Professional		$22.07	$23.39	$30.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $23.39	Professional		$22.51	$22.51	$23.39