Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $30.86 / $111.24	Facility		$18.59	$30.86	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.78 / $63.61	Professional		$18.59	$18.78	$63.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $14.87 / $18.59	Facility		$14.87	$14.87	$18.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $37.47	Professional		$18.59	$18.59	$37.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $19.92	Facility		$18.97	$18.97	$19.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $19.48	Facility		$17.54	$17.54	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $26.31 / $332.00	Facility		$20.17	$26.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.17 / $20.17	Professional		$17.14	$20.17	$20.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $19.29	Facility		$18.59	$18.59	$19.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $19.29	Professional		$18.59	$18.59	$19.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $555.00	Facility		$17.54	$17.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $22.80 / $28.99	Professional		$18.59	$22.80	$28.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $33.51	Professional		$18.59	$18.59	$33.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $19.29 / $19.29	Facility		$0.49	$19.29	$19.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $18.59 / $19.29	Professional		$0.49	$18.59	$19.29