Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $11.48 / $21.25	Facility		$9.69	$11.48	$21.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $13.41 / $16.63	Professional		$9.69	$13.41	$16.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $26.91 / $52.76	Facility		$26.38	$26.91	$52.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $44.35	Professional		$17.73	$17.73	$44.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $21.98 / $21.98	Facility		$20.44	$21.98	$21.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $21.98	Professional		$21.98	$21.98	$21.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Facility		$16.89	$16.89	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $16.89	Professional		$12.34	$12.34	$16.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $59.36 / $332.00	Facility		$26.38	$59.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $19.79 / $47.48	Professional		$13.62	$19.79	$47.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $16.16	Facility		$16.16	$16.16	$16.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $16.16 / $19.39	Professional		$15.86	$16.16	$19.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $555.00	Facility		$16.89	$16.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $15.72 / $39.31	Professional		$12.34	$15.72	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $16.02 / $24.13	Professional		$8.77	$16.02	$24.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $15.86 / $16.48	Facility		$15.86	$15.86	$16.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $16.85	Professional		$15.86	$15.86	$16.85