Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $37.18 / $54.31	Facility		$20.09	$37.18	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $29.10 / $54.31	Professional		$20.09	$29.10	$54.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $47.08 / $92.32	Facility		$46.16	$47.08	$92.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $28.62 / $76.27	Professional		$28.62	$28.62	$76.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $38.46 / $38.46	Facility		$35.77	$38.46	$38.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Professional		$38.46	$38.46	$38.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $30.59	Professional		$22.33	$22.33	$30.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $103.86 / $332.00	Facility		$46.16	$103.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $34.61 / $84.10	Professional		$27.23	$34.61	$84.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $35.49 / $38.46	Professional		$35.49	$35.49	$38.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $555.00	Facility		$30.59	$30.59	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $28.53 / $68.44	Professional		$22.33	$28.53	$68.44
United Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $56.45 / $56.45	Facility		$56.45	$56.45	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $27.91 / $42.22	Professional		$15.35	$27.91	$42.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $35.49 / $35.49	Facility		$35.49	$35.49	$35.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $35.49 / $35.49	Professional		$35.49	$35.49	$35.49