Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $21.12	Professional		$19.19	$19.20	$21.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $14.59 / $18.23	Facility		$14.59	$14.59	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $23.08	Professional		$17.00	$17.00	$23.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Facility		$16.12	$16.12	$16.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Professional		$16.12	$16.12	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $12.61 / $12.61	Facility		$11.89	$12.61	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $28.38 / $332.00	Facility		$19.78	$28.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $22.26 / $31.48	Professional		$18.92	$22.26	$31.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $21.77 / $21.77	Facility		$21.77	$21.77	$21.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $21.77 / $23.49	Professional		$21.77	$21.77	$23.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $12.61 / $597.00	Facility		$11.89	$12.61	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.89 / $15.62	Professional		$11.00	$11.89	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $36.04	Professional		$25.74	$25.74	$36.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $21.77 / $21.77	Facility		$21.77	$21.77	$21.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $21.77 / $23.49	Professional		$10.76	$21.77	$23.49