Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $70.43 / $134.25	Facility		$39.51	$70.43	$134.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $57.30 / $103.05	Professional		$39.26	$57.30	$103.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $51.37 / $123.47	Professional		$39.29	$51.37	$123.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $24.54 / $59.10	Facility		$24.54	$24.54	$59.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $59.10 / $83.64	Professional		$24.54	$59.10	$83.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $140.25 / $307.16	Facility		$90.32	$140.25	$307.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $73.23 / $197.53	Professional		$44.24	$73.23	$197.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $67.25 / $332.00	Facility		$37.60	$67.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $72.03 / $125.18	Professional		$53.27	$72.03	$125.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $72.81 / $130.52	Professional		$31.29	$72.81	$130.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $140.66 / $362.24	Facility		$69.34	$140.66	$362.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $74.58 / $181.50	Professional		$48.37	$74.58	$181.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $57.77 / $123.48	Professional		$44.02	$57.77	$123.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $71.62 / $139.88	Facility		$71.62	$71.62	$139.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $90.39 / $157.29	Professional		$31.29	$90.39	$157.29