Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $18.22 / $33.72	Facility		$14.26	$18.22	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.29 / $26.40	Professional		$14.26	$18.29	$26.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $42.72 / $83.76	Facility		$41.88	$42.72	$83.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $64.53	Professional		$22.44	$22.44	$64.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $34.89 / $34.89	Facility		$32.45	$34.89	$34.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Professional		$34.89	$34.89	$34.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $28.44	Professional		$19.47	$19.47	$28.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $94.23 / $332.00	Facility		$41.88	$94.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $30.99 / $75.38	Professional		$21.62	$30.99	$75.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $25.40 / $25.40	Facility		$25.40	$25.40	$25.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $25.40 / $30.48	Professional		$24.46	$25.40	$30.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $555.00	Facility		$26.67	$26.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $25.88 / $55.36	Professional		$19.47	$25.88	$55.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $21.22 / $38.29	Professional		$13.93	$21.22	$38.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $24.46 / $24.46	Facility		$22.38	$24.46	$24.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $25.98	Professional		$24.46	$24.46	$25.98