Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $28.59 / $48.38	Facility		$19.00	$28.59	$48.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $25.51	Professional		$19.00	$19.00	$25.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $15.20 / $19.00	Facility		$15.20	$15.20	$19.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $71.51	Professional		$19.00	$19.00	$71.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $61.11 / $64.17	Facility		$61.11	$61.11	$64.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $61.11	Professional		$61.11	$61.11	$61.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $69.23 / $90.07	Facility		$13.34	$69.23	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $25.10 / $332.00	Facility		$15.34	$25.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $33.17	Professional		$15.34	$15.34	$33.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $85.05 / $90.07	Facility		$13.34	$85.05	$90.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $31.04	Professional		$19.00	$19.00	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.95 / $28.50	Professional		$19.00	$19.95	$28.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00