Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $14.97 / $27.70	Facility		$11.71	$14.97	$27.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $15.03 / $21.69	Professional		$11.71	$15.03	$21.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $35.09 / $68.80	Facility		$34.40	$35.09	$68.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $53.31	Professional		$19.17	$19.17	$53.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $28.66 / $28.66	Facility		$26.65	$28.66	$28.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $28.66 / $28.66	Professional		$28.66	$28.66	$28.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $23.58	Professional		$17.21	$17.21	$23.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $77.40 / $332.00	Facility		$34.40	$77.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $25.46 / $61.92	Professional		$19.47	$25.46	$61.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $24.34 / $24.34	Facility		$24.34	$24.34	$24.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $21.35 / $28.66	Professional		$20.09	$21.35	$28.66
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $15.82 / $15.82	Professional		$15.82	$15.82	$15.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $555.00	Facility		$23.58	$23.58	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $21.26 / $51.09	Professional		$17.21	$21.26	$51.09
United Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $15.57 / $18.18	Facility		$11.83	$15.57	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $17.16 / $31.46	Professional		$11.44	$17.16	$31.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $20.09 / $20.09	Facility		$18.38	$20.09	$20.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $24.34	Professional		$20.09	$20.09	$24.34