Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $12.04 / $22.28	Facility		$9.42	$12.04	$22.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.62 / $17.45	Professional		$9.42	$12.62	$17.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $28.22 / $55.34	Facility		$27.67	$28.22	$55.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $42.90	Professional		$15.39	$15.39	$42.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $23.05 / $23.05	Facility		$21.44	$23.05	$23.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $23.05 / $23.05	Professional		$23.05	$23.05	$23.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $15.80	Professional		$11.53	$11.53	$15.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $62.26 / $332.00	Facility		$27.67	$62.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $20.75 / $49.81	Professional		$15.66	$20.75	$49.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $17.68 / $23.05	Professional		$16.64	$17.68	$23.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $555.00	Facility		$15.80	$15.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $41.23	Professional		$11.53	$15.80	$41.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $14.31 / $25.29	Professional		$9.19	$14.31	$25.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $17.29	Facility		$16.64	$16.64	$17.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $19.57	Professional		$16.64	$16.64	$19.57