Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $27.13 / $35.27	Facility		$20.64	$27.13	$35.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.44 / $32.47	Professional		$16.51	$23.44	$32.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $13.95 / $52.26	Professional		$11.00	$13.95	$52.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $28.25 / $28.25	Facility		$26.27	$28.25	$28.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $28.25 / $28.25	Professional		$28.25	$28.25	$28.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $61.63 / $332.00	Facility		$33.68	$61.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $45.60 / $73.09	Professional		$35.36	$45.60	$73.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Facility		$24.60	$24.60	$24.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $26.14 / $28.25	Professional		$24.60	$26.14	$28.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $597.00	Facility		$39.47	$39.47	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.74 / $57.68	Professional		$13.00	$13.74	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $19.67 / $42.44	Professional		$11.20	$19.67	$42.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $26.47	Facility		$24.60	$24.60	$26.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $24.60 / $26.14	Professional		$24.60	$24.60	$26.14