Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $44.67	Facility		$12.59	$28.18	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $19.95	Professional		$6.61	$6.61	$19.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $14.79	Professional		$10.96	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $32.36 / $38.90	Facility		$9.55	$32.36	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $72.44	Professional		$14.79	$21.38	$72.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $57.54	Facility		$14.79	$24.55	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $28.84	Professional		$15.49	$19.95	$28.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $26.30	Professional		$12.59	$14.79	$26.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $50,118.72	Facility		$19.50	$28.18	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.14	Professional		$14.79	$14.79	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.79 / $17.78	Facility		$13.49	$14.79	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $19.50	Professional		$6.31	$8.91	$19.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $16.98	Facility		$12.59	$14.79	$16.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $29.51	Professional		$10.00	$14.79	$29.51