Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $21.48 / $39.75	Facility		$18.14	$21.48	$39.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.77 / $31.11	Professional		$18.14	$21.77	$31.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $50.34 / $98.70	Facility		$49.35	$50.34	$98.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $90.00 / $104.26	Professional		$43.76	$90.00	$104.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $41.11 / $41.11	Facility		$38.22	$41.11	$41.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $40.14	Professional		$34.11	$34.11	$40.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $111.04 / $332.00	Facility		$49.35	$111.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $37.01 / $88.83	Professional		$29.12	$37.01	$88.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $37.43 / $37.43	Facility		$37.43	$37.43	$37.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $31.53 / $41.11	Professional		$29.67	$31.53	$41.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $555.00	Facility		$40.14	$40.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $34.11 / $73.13	Professional		$30.50	$34.11	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $29.61 / $42.53	Professional		$16.41	$29.61	$42.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $29.67 / $32.97	Facility		$29.67	$29.67	$32.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $29.67 / $37.43	Professional		$29.67	$29.67	$37.43