Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $25.37 / $46.95	Facility		$19.85	$25.37	$46.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $25.47 / $36.75	Professional		$19.85	$25.47	$36.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $59.46 / $116.58	Facility		$58.29	$59.46	$116.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $31.69 / $89.83	Professional		$31.69	$31.69	$89.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $48.56 / $48.56	Facility		$45.16	$48.56	$48.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $33.35	Professional		$24.35	$24.35	$33.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $131.15 / $332.00	Facility		$58.29	$131.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $43.13 / $104.92	Professional		$30.10	$43.13	$104.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Facility		$35.36	$35.36	$35.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $35.36 / $42.44	Professional		$33.71	$35.36	$42.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $555.00	Facility		$33.35	$33.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $86.72	Professional		$24.35	$33.35	$86.72
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $26.39 / $26.39	Facility		$0.04	$26.39	$26.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.76 / $53.38	Professional		$19.38	$30.76	$53.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $33.71 / $33.71	Facility		$31.16	$33.71	$33.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $35.81	Professional		$33.71	$33.71	$35.81