Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $19.54 / $36.15	Facility		$15.28	$19.54	$36.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $19.61 / $28.30	Professional		$15.28	$19.61	$28.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $45.78 / $89.76	Facility		$44.88	$45.78	$89.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $69.19	Professional		$24.25	$24.25	$69.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $37.39 / $37.39	Facility		$34.77	$37.39	$37.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $37.39	Professional		$37.39	$37.39	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $53.25	Professional		$19.78	$19.78	$53.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $100.98 / $332.00	Facility		$44.88	$100.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $33.21 / $80.78	Professional		$23.43	$33.21	$80.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $27.84 / $35.15	Professional		$26.20	$27.84	$35.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $555.00	Facility		$27.10	$27.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $66.87	Professional		$19.78	$27.10	$66.87
United Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $23.66 / $41.05	Professional		$14.93	$23.66	$41.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $26.20 / $26.20	Facility		$23.98	$26.20	$26.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $29.29	Professional		$26.20	$26.20	$29.29