Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $13.45 / $24.89	Facility		$11.35	$13.45	$24.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $13.63 / $19.48	Professional		$11.35	$13.63	$19.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $31.50 / $61.76	Facility		$30.88	$31.50	$61.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $54.44	Professional		$24.95	$24.95	$54.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $25.74 / $25.74	Facility		$23.94	$25.74	$25.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $25.74	Professional		$25.74	$25.74	$25.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.14	Professional		$21.37	$21.37	$25.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $69.48 / $332.00	Facility		$30.88	$69.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.16 / $56.26	Professional		$18.22	$23.16	$56.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $23.45 / $23.45	Facility		$23.45	$23.45	$23.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $19.73 / $25.74	Professional		$18.57	$19.73	$25.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $555.00	Facility		$25.14	$25.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.37 / $45.94	Professional		$19.10	$21.37	$45.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $18.53 / $27.79	Professional		$10.28	$18.53	$27.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $22.29	Facility		$18.57	$18.57	$22.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $19.73	Professional		$18.57	$18.57	$19.73