Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $47.86 / $75.86	Facility		$21.38	$47.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $23.99	Professional		$15.85	$19.95	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Facility		$25.12	$25.12	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $79.43	Professional		$33.88	$52.48	$79.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $53.70 / $64.57	Facility		$16.22	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $120.23	Professional		$25.12	$30.20	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $95.50	Facility		$25.12	$41.69	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $61.66	Professional		$26.30	$33.88	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $28.18	Professional		$18.62	$23.99	$28.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $50,118.72	Facility		$32.36	$47.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $30.20	Facility		$22.39	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $31.62	Professional		$10.47	$15.14	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $28.84	Facility		$21.38	$25.12	$28.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $44.67	Professional		$18.62	$25.12	$44.67