Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $45.74 / $83.24	Facility		$27.99	$45.74	$83.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $36.47 / $62.75	Professional		$27.99	$36.47	$62.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $32.15 / $93.76	Professional		$24.59	$32.15	$93.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $40.96	Facility		$11.74	$11.74	$40.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $40.96 / $52.70	Professional		$11.74	$40.96	$52.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $97.70 / $222.82	Facility		$60.71	$97.70	$222.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $51.37 / $120.83	Professional		$29.56	$51.37	$120.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $44.45 / $332.00	Facility		$24.89	$44.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $46.60 / $75.94	Professional		$34.52	$46.60	$75.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $44.10 / $79.03	Professional		$30.46	$44.10	$79.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $97.80 / $264.06	Facility		$51.58	$97.80	$264.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $50.78 / $116.37	Professional		$32.24	$50.78	$116.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $38.25 / $76.54	Professional		$30.63	$38.25	$76.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $43.37 / $105.47	Facility		$43.37	$43.37	$105.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $54.84 / $98.00	Professional		$31.54	$54.84	$98.00