Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $39.39 / $71.04	Facility		$26.71	$39.39	$71.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $37.46	Professional		$26.71	$26.71	$37.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $26.71	Facility		$21.37	$21.37	$26.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $94.50	Professional		$26.71	$26.71	$94.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $34.75 / $36.49	Facility		$34.75	$34.75	$36.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $34.75 / $34.75	Professional		$34.75	$34.75	$34.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $41.61 / $85.00	Facility		$25.20	$41.61	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.24	Professional		$26.71	$26.71	$39.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $41.58 / $332.00	Facility		$27.72	$41.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $27.72 / $35.28	Professional		$27.72	$27.72	$35.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $27.22	Facility		$26.71	$26.71	$27.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.22 / $27.22	Professional		$26.71	$27.22	$27.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $42.86 / $85.00	Facility		$25.20	$42.86	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $61.91	Professional		$26.71	$26.71	$61.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $28.31 / $39.39	Professional		$25.95	$28.31	$39.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $27.22 / $27.22	Facility		$27.22	$27.22	$27.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.22 / $27.22	Professional		$26.71	$27.22	$27.22