Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $17.73 / $30.98	Facility		$14.08	$17.73	$30.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $15.85	Professional		$14.31	$14.31	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $14.31	Facility		$11.45	$11.45	$14.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $14.31 / $14.61	Professional		$13.30	$14.31	$14.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $13.44	Facility		$12.80	$12.80	$13.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.50 / $13.96	Facility		$13.43	$13.50	$13.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $21.47 / $332.00	Facility		$14.31	$21.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $17.46	Professional		$14.31	$14.31	$17.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $14.58	Facility		$14.31	$14.31	$14.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.58 / $14.58	Professional		$14.31	$14.58	$14.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.50 / $18.62	Facility		$13.43	$13.50	$18.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.20	Professional		$14.31	$14.31	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $15.12 / $19.18	Professional		$13.59	$15.12	$19.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Facility		$14.58	$14.58	$14.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.58 / $14.58	Professional		$14.31	$14.58	$14.58