Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $84.86 / $146.58	Facility		$42.13	$84.86	$146.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $30.85 / $45.23	Professional		$20.57	$30.85	$45.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $42.13 / $42.13	Professional		$30.75	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $61.72 / $108.65	Facility		$35.32	$61.72	$108.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.66 / $247.89	Professional		$42.13	$52.66	$247.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $77.15 / $332.00	Facility		$51.43	$77.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $30.86 / $94.12	Professional		$23.50	$30.86	$94.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $43.72 / $57.76	Professional		$25.25	$43.72	$57.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $89.39 / $555.00	Facility		$35.68	$89.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $42.13 / $105.95	Professional		$27.38	$42.13	$105.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $28.38 / $69.43	Professional		$16.88	$28.38	$69.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $59.14 / $59.14	Facility		$52.52	$59.14	$59.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $45.63 / $61.81	Professional		$25.25	$45.63	$61.81