Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $56.23 / $264.83	Facility		$21.60	$56.23	$264.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $31.54 / $80.59	Professional		$21.60	$31.54	$80.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $28.05 / $74.05	Professional		$21.76	$28.05	$74.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $32.84	Facility		$11.24	$11.24	$32.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $32.84 / $44.08	Professional		$11.24	$32.84	$44.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $78.61 / $184.53	Facility		$49.27	$78.61	$184.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $42.86 / $99.98	Professional		$24.40	$42.86	$99.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $36.13 / $332.00	Facility		$20.10	$36.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $37.01 / $63.76	Professional		$29.02	$37.01	$63.76
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 $21.08 / $37.08 / $66.45	Professional		$21.08	$37.08	$66.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $78.65 / $212.98	Facility		$39.00	$78.65	$212.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $42.38 / $91.19	Professional		$26.50	$42.38	$91.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $32.21 / $65.41	Professional		$24.22	$32.21	$65.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $36.47 / $81.59	Facility		$36.47	$36.47	$81.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $46.03 / $82.40	Professional		$21.08	$46.03	$82.40