Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $20.74 / $38.39	Facility		$17.51	$20.74	$38.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $20.82 / $30.05	Professional		$17.51	$20.82	$30.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $48.61 / $95.32	Facility		$47.66	$48.61	$95.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $28.86 / $76.91	Professional		$28.86	$28.86	$76.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $39.70 / $39.70	Facility		$36.92	$39.70	$39.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $39.70 / $39.70	Professional		$39.70	$39.70	$39.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $29.78	Professional		$21.74	$21.74	$29.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $107.24 / $332.00	Facility		$47.66	$107.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $35.27 / $85.79	Professional		$24.61	$35.27	$85.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $28.65 / $34.17	Professional		$25.25	$28.65	$34.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $555.00	Facility		$29.78	$29.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $28.40 / $68.91	Professional		$21.74	$28.40	$68.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.60 / $42.90	Professional		$15.85	$28.60	$42.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $29.77	Facility		$28.65	$28.65	$29.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $28.65 / $30.44	Professional		$25.25	$28.65	$30.44