Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $18.30 / $33.86	Facility		$14.31	$18.30	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $18.30 / $26.51	Professional		$14.31	$18.30	$26.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $42.89 / $84.10	Facility		$42.05	$42.89	$84.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $21.57 / $64.18	Professional		$21.57	$21.57	$64.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $35.03 / $35.03	Facility		$32.58	$35.03	$35.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $35.03 / $35.03	Professional		$35.03	$35.03	$35.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.10	Professional		$16.86	$16.86	$23.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $94.61 / $332.00	Facility		$42.05	$94.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $30.28 / $75.69	Professional		$21.71	$30.28	$75.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $24.75 / $24.75	Facility		$24.75	$24.75	$24.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $25.27 / $30.15	Professional		$24.75	$25.27	$30.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $555.00	Facility		$23.10	$23.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $51.56	Professional		$16.86	$23.10	$51.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $20.98 / $38.46	Professional		$13.98	$20.98	$38.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $26.26	Facility		$25.27	$25.27	$26.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $25.27 / $26.86	Professional		$24.75	$25.27	$26.86