Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $59.12 / $68.11	Facility		$59.06	$59.12	$68.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $59.22 / $96.01	Professional		$48.03	$59.22	$96.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $46.71 / $70.56	Professional		$38.82	$46.71	$70.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $67.78 / $67.78	Facility		$67.78	$67.78	$67.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $67.78 / $67.78	Professional		$67.78	$67.78	$67.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $230.73 / $230.73	Professional		$230.73	$230.73	$230.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $67.29 / $145.88	Professional		$58.59	$67.29	$145.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $597.00	Facility		$68.59	$68.59	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $230.73 / $230.73	Professional		$230.73	$230.73	$230.73
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $58.06 / $138.97	Professional		$43.54	$58.06	$138.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $58.59 / $58.59	Facility		$58.59	$58.59	$58.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $62.88 / $129.19	Professional		$58.59	$62.88	$129.19