Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $28.18 / $75.63	Facility		$5.79	$28.18	$75.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $28.18 / $35.61	Professional		$19.67	$28.18	$35.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $37.29 / $73.12	Facility		$36.56	$37.29	$73.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $96.44	Professional		$36.19	$36.19	$96.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $47.21 / $47.21	Facility		$43.91	$47.21	$47.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $47.21	Professional		$47.21	$47.21	$47.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $47.25	Professional		$32.43	$32.43	$47.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $82.26 / $332.00	Facility		$36.56	$82.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $33.44 / $65.81	Professional		$22.67	$33.44	$65.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Facility		$43.70	$43.70	$43.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $39.79 / $43.70	Professional		$37.45	$39.79	$43.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $29.72	Professional		$29.72	$29.72	$29.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $38.15 / $555.00	Facility		$36.56	$38.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $73.41	Professional		$32.43	$38.15	$73.41
United Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Facility		$64.78	$64.78	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $32.31 / $59.38	Professional		$21.54	$32.31	$59.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $37.45 / $37.45	Facility		$36.78	$37.45	$37.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $37.45 / $43.70	Professional		$37.45	$37.45	$43.70