Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $28.00 / $67.34	Facility		$21.89	$28.00	$67.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $28.11 / $40.56	Professional		$21.89	$28.11	$40.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $65.62 / $128.66	Facility		$64.33	$65.62	$128.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $99.16	Professional		$34.47	$34.47	$99.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $53.60 / $53.60	Facility		$49.85	$53.60	$53.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $53.60	Professional		$53.60	$53.60	$53.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $36.78	Professional		$26.85	$26.85	$36.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $144.74 / $332.00	Facility		$64.33	$144.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $47.60 / $115.79	Professional		$33.22	$47.60	$115.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $39.01	Facility		$39.01	$39.01	$39.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $39.01 / $46.81	Professional		$37.56	$39.01	$46.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $555.00	Facility		$36.78	$36.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.78 / $99.71	Professional		$26.85	$36.78	$99.71
United Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $78.48	Facility		$78.48	$78.48	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $33.04 / $58.84	Professional		$21.40	$33.04	$58.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $37.56 / $37.56	Facility		$34.38	$37.56	$37.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $37.56 / $39.90	Professional		$37.56	$37.56	$39.90