Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $40.11 / $40.11	Facility		$32.57	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $39.18 / $40.11	Professional		$32.57	$39.18	$40.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $44.84 / $94.61	Professional		$39.46	$44.84	$94.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $6.10 / $6.71	Facility		$6.10	$6.10	$6.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Professional		$6.10	$6.10	$6.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $42.56	Facility		$40.11	$40.11	$42.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $10.76	Facility		$6.22	$6.22	$10.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.22 / $6.22	Professional		$5.60	$6.22	$6.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.46 / $6.46	Facility		$6.22	$6.46	$6.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $6.46	Professional		$6.22	$6.22	$6.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $42.56 / $597.00	Facility		$40.11	$42.56	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $55.11	Professional		$39.33	$39.33	$55.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $6.22	Facility		$6.22	$6.22	$6.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $6.46	Professional		$6.22	$6.22	$6.46