Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $19.47 / $36.04	Facility		$15.23	$19.47	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $20.38 / $28.21	Professional		$15.23	$20.38	$28.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $45.63 / $89.48	Facility		$44.74	$45.63	$89.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $70.94	Professional		$26.20	$26.20	$70.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.28 / $37.28	Facility		$34.67	$37.28	$37.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Professional		$37.28	$37.28	$37.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $29.64	Professional		$21.64	$21.64	$29.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $100.67 / $332.00	Facility		$44.74	$100.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $33.11 / $80.53	Professional		$23.10	$33.11	$80.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $4.65	Facility		$4.65	$4.65	$4.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $26.90 / $32.09	Professional		$4.65	$26.90	$32.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $555.00	Facility		$29.64	$29.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $26.66 / $69.34	Professional		$21.64	$26.66	$69.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $24.18 / $41.02	Professional		$14.88	$24.18	$41.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $27.95	Facility		$26.90	$26.90	$27.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $26.90 / $28.58	Professional		$4.65	$26.90	$28.58