Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $22.13 / $40.96	Facility		$17.30	$22.13	$40.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $22.21 / $32.04	Professional		$17.30	$22.21	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $51.86 / $101.68	Facility		$50.84	$51.86	$101.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.25 / $78.36	Professional		$27.25	$27.25	$78.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $42.36 / $42.36	Facility		$39.39	$42.36	$42.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $42.36 / $42.36	Professional		$42.36	$42.36	$42.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $36.33	Professional		$26.52	$26.52	$36.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $114.39 / $332.00	Facility		$50.84	$114.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $37.61 / $91.51	Professional		$26.25	$37.61	$91.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $30.84 / $30.84	Facility		$30.84	$30.84	$30.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $30.84 / $37.01	Professional		$29.69	$30.84	$37.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $555.00	Facility		$36.33	$36.33	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $31.16 / $78.80	Professional		$26.52	$31.16	$78.80
United Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $23.01 / $26.87	Facility		$17.48	$23.01	$26.87
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $26.39 / $46.53	Professional		$16.91	$26.39	$46.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $29.69 / $29.69	Facility		$27.18	$29.69	$29.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $29.69 / $31.55	Professional		$29.69	$29.69	$31.55