Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $12.56 / $23.24	Facility		$10.60	$12.56	$23.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $12.93 / $18.19	Professional		$10.60	$12.93	$18.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $29.43 / $57.70	Facility		$28.85	$29.43	$57.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $44.47	Professional		$15.65	$15.65	$44.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $24.03 / $24.03	Facility		$22.35	$24.03	$24.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $24.03 / $24.03	Professional		$24.03	$24.03	$24.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $16.30	Professional		$11.91	$11.91	$16.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $64.91 / $332.00	Facility		$28.85	$64.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.64 / $51.93	Professional		$15.35	$21.64	$51.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $18.43 / $23.03	Professional		$17.35	$18.43	$23.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $555.00	Facility		$16.30	$16.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.30 / $37.50	Professional		$11.91	$16.30	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $17.11 / $25.97	Professional		$9.59	$17.11	$25.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $17.35 / $18.03	Facility		$17.35	$17.35	$18.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $19.19	Professional		$17.35	$17.35	$19.19