Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $16.25 / $30.09	Facility		$12.72	$16.25	$30.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $16.32 / $23.55	Professional		$12.72	$16.32	$23.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $38.11 / $74.72	Facility		$37.36	$38.11	$74.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $20.73 / $57.88	Professional		$20.73	$20.73	$57.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $31.12 / $31.12	Facility		$28.94	$31.12	$31.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.12 / $31.12	Professional		$31.12	$31.12	$31.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.38	Professional		$15.61	$15.61	$21.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $84.06 / $332.00	Facility		$37.36	$84.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $27.65 / $67.25	Professional		$22.04	$27.65	$67.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Facility		$28.32	$28.32	$28.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $23.17 / $31.12	Professional		$21.81	$23.17	$31.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $555.00	Facility		$21.38	$21.38	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $55.31	Professional		$15.61	$21.38	$55.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $19.39 / $33.63	Professional		$12.42	$19.39	$33.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $21.81 / $21.81	Facility		$19.97	$21.81	$21.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $21.81 / $28.32	Professional		$21.81	$21.81	$28.32