Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $23.51 / $43.52	Facility		$18.39	$23.51	$43.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.51 / $34.06	Professional		$18.39	$23.51	$34.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $55.12 / $108.08	Facility		$54.04	$55.12	$108.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $83.93	Professional		$30.13	$30.13	$83.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $45.01 / $45.01	Facility		$41.86	$45.01	$45.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $45.01 / $45.01	Professional		$45.01	$45.01	$45.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $30.91	Professional		$22.56	$22.56	$30.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $121.59 / $332.00	Facility		$54.04	$121.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $39.54 / $97.27	Professional		$27.90	$39.54	$97.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $27.27 / $27.27	Facility		$27.27	$27.27	$27.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $32.49 / $38.75	Professional		$27.27	$32.49	$38.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $555.00	Facility		$30.91	$30.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $80.52	Professional		$22.56	$30.91	$80.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $29.35 / $49.46	Professional		$17.97	$29.35	$49.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $32.49 / $33.77	Facility		$32.49	$32.49	$33.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $32.49 / $34.52	Professional		$27.27	$32.49	$34.52