Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.47 / $39.74	Facility		$16.80	$21.47	$39.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.56 / $31.10	Professional		$16.80	$21.56	$31.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $50.33 / $98.68	Facility		$49.34	$50.33	$98.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $76.48	Professional		$27.52	$27.52	$76.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $41.10 / $41.10	Facility		$38.22	$41.10	$41.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $41.10 / $41.10	Professional		$41.10	$41.10	$41.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Facility		$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $33.84	Professional		$24.70	$24.70	$33.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $111.02 / $332.00	Facility		$49.34	$111.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $36.51 / $88.81	Professional		$27.93	$36.51	$88.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Facility		$34.90	$34.90	$34.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $30.62 / $41.10	Professional		$28.83	$30.62	$41.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $555.00	Facility		$33.84	$33.84	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $30.49 / $73.13	Professional		$24.70	$30.49	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $26.80 / $45.12	Professional		$16.41	$26.80	$45.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $28.83 / $28.83	Facility		$26.38	$28.83	$28.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $34.90	Professional		$28.83	$28.83	$34.90