Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $29.08 / $37.89	Facility		$22.13	$29.08	$37.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $25.13 / $37.89	Professional		$18.50	$25.13	$37.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $14.95 / $56.04	Professional		$11.78	$14.95	$56.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $30.29 / $30.29	Facility		$28.17	$30.29	$30.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Professional		$30.29	$30.29	$30.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $42.30	Facility		$42.30	$42.30	$42.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $66.06 / $332.00	Facility		$36.10	$66.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $48.88 / $78.34	Professional		$37.90	$48.88	$78.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $29.13	Facility		$29.13	$29.13	$29.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $30.95 / $30.95	Professional		$29.13	$30.95	$30.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $597.00	Facility		$42.30	$42.30	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $14.73 / $61.84	Professional		$12.50	$14.73	$61.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $20.62 / $44.79	Professional		$12.01	$20.62	$44.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $29.13	Facility		$29.13	$29.13	$29.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $29.13 / $30.95	Professional		$29.13	$29.13	$30.95