Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $54.83 / $89.29	Facility		$26.63	$54.83	$89.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.07 / $26.63	Professional		$16.60	$17.07	$26.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $81.45	Facility		$31.33	$31.33	$81.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $32.90	Professional		$6.54	$6.54	$32.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Facility		$31.33	$31.33	$31.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $31.33 / $31.33	Professional		$22.87	$31.33	$31.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $63.60 / $81.48	Facility		$21.89	$63.60	$81.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $44.91 / $151.01	Professional		$35.93	$44.91	$151.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $65.79 / $332.00	Facility		$31.33	$65.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $18.48 / $58.59	Professional		$12.53	$18.48	$58.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $29.76 / $35.19	Professional		$19.62	$29.76	$35.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $66.17 / $83.83	Facility		$30.54	$66.17	$83.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $35.93 / $64.54	Professional		$20.36	$35.93	$64.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $45.43	Professional		$13.16	$18.80	$45.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $36.03 / $36.03	Facility		$31.33	$36.03	$36.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $31.33 / $37.65	Professional		$19.62	$31.33	$37.65