Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $27.54 / $38.90	Facility		$10.96	$27.54	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $30.90	Professional		$12.88	$18.20	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Facility		$35.48	$35.48	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $58.88	Professional		$18.62	$18.62	$58.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $28.84	Facility		$26.92	$28.84	$28.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $56.23 / $50,118.72	Facility		$24.55	$56.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $34.67	Professional		$17.78	$17.78	$34.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $134.90	Facility		$35.48	$57.54	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $67.61	Professional		$21.88	$37.15	$67.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $25.70	Facility		$24.55	$24.55	$25.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $24.55	Professional		$19.95	$21.38	$24.55
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $50,118.72 / $75,857.76	Facility		$52.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $33.88	Professional		$22.91	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $42.66	Facility		$12.88	$36.31	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $29.51	Professional		$11.48	$17.38	$29.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $25.70	Facility		$19.50	$19.95	$25.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $24.55	Professional		$19.95	$21.38	$24.55