Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $20.83 / $38.56	Facility		$16.30	$20.83	$38.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.91 / $30.18	Professional		$16.30	$20.91	$30.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $48.83 / $95.74	Facility		$47.87	$48.83	$95.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $26.70 / $74.37	Professional		$26.70	$26.70	$74.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $39.89 / $39.89	Facility		$37.10	$39.89	$39.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Professional		$39.89	$39.89	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $27.38	Professional		$19.98	$19.98	$27.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $107.71 / $332.00	Facility		$47.87	$107.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $35.42 / $86.17	Professional		$28.24	$35.42	$86.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Facility		$36.29	$36.29	$36.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $29.71 / $39.89	Professional		$27.97	$29.71	$39.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $555.00	Facility		$27.38	$27.38	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $71.25	Professional		$19.98	$27.38	$71.25
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $24.78 / $43.81	Professional		$15.92	$24.78	$43.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.97 / $27.97	Facility		$25.59	$27.97	$27.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $36.29	Professional		$27.97	$27.97	$36.29