Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $69.76 / $120.50	Facility		$42.28	$69.76	$120.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $50.25 / $50.33	Professional		$42.28	$50.25	$50.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $42.27	Professional		$16.91	$16.91	$42.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $42.28 / $42.28	Facility		$25.37	$42.28	$42.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $42.28 / $42.28	Professional		$30.86	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $50.74 / $89.71	Facility		$29.04	$50.74	$89.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $203.79	Professional		$42.28	$48.57	$203.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $63.42 / $332.00	Facility		$42.28	$63.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.37 / $77.37	Professional		$19.32	$25.37	$77.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $40.17 / $47.48	Professional		$25.25	$40.17	$47.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $89.31 / $555.00	Facility		$29.33	$89.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $42.28 / $87.10	Professional		$27.48	$42.28	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $25.37 / $67.66	Professional		$16.88	$25.37	$67.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $48.62 / $48.62	Facility		$43.18	$48.62	$48.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $41.81 / $50.82	Professional		$25.25	$41.81	$50.82