Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $17.55 / $32.50	Facility		$13.74	$17.55	$32.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $17.63 / $25.44	Professional		$13.74	$17.63	$25.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $41.16 / $80.70	Facility		$40.35	$41.16	$80.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $57.53	Professional		$13.31	$13.31	$57.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $33.61 / $33.61	Facility		$31.27	$33.61	$33.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Professional		$33.61	$33.61	$33.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.09	Professional		$16.86	$16.86	$23.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $90.79 / $332.00	Facility		$40.35	$90.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $29.86 / $72.63	Professional		$20.84	$29.86	$72.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $23.57 / $28.94	Professional		$4.55	$23.57	$28.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $555.00	Facility		$23.09	$23.09	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $60.00	Professional		$16.86	$23.09	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $20.74 / $36.95	Professional		$13.42	$20.74	$36.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $23.57 / $23.57	Facility		$21.58	$23.57	$23.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $23.57 / $25.05	Professional		$4.55	$23.57	$25.05