Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.13 / $30.20	Facility		$12.59	$14.13	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $33.11	Professional		$14.13	$19.05	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $75.86	Facility		$38.02	$38.02	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $64.57	Professional		$19.95	$19.95	$64.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.90 / $30.90	Facility		$28.84	$30.90	$30.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $61.66 / $50,118.72	Facility		$21.38	$61.66	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $38.02	Professional		$15.49	$15.49	$38.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $147.91	Facility		$38.02	$63.10	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $74.13	Professional		$23.44	$39.81	$74.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $29.51	Facility		$28.18	$28.18	$29.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $28.18	Professional		$21.88	$22.91	$28.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $50,118.72 / $75,857.76	Facility		$60.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $36.31	Professional		$25.12	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $39.81 / $46.77	Facility		$14.13	$39.81	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $32.36	Professional		$12.30	$19.05	$32.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.88 / $29.51	Facility		$21.38	$21.88	$29.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $28.18	Professional		$21.88	$22.91	$28.18