Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $22.13 / $40.96	Facility		$17.30	$22.13	$40.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $23.55 / $32.04	Professional		$17.30	$23.55	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $51.86 / $101.68	Facility		$50.84	$51.86	$101.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.25 / $78.37	Professional		$27.25	$27.25	$78.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $42.36 / $42.36	Facility		$39.39	$42.36	$42.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $42.36 / $42.36	Professional		$42.36	$42.36	$42.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $34.89	Professional		$25.47	$25.47	$34.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $114.39 / $332.00	Facility		$50.84	$114.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.13 / $91.51	Professional		$30.00	$38.13	$91.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $31.24 / $42.36	Professional		$29.40	$31.24	$42.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $555.00	Facility		$34.89	$34.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $31.43 / $75.47	Professional		$25.47	$31.43	$75.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $25.37 / $45.76	Professional		$16.91	$25.37	$45.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $29.40 / $39.07	Facility		$29.40	$29.40	$39.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $38.54	Professional		$29.40	$29.40	$38.54