Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $87.79 / $147.16	Facility		$44.86	$87.79	$147.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $43.89 / $61.76	Professional		$27.37	$43.89	$61.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $134.26	Facility		$51.64	$51.64	$134.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $31.24 / $116.54	Professional		$22.84	$31.24	$116.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $51.64 / $51.64	Facility		$30.98	$51.64	$51.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $51.64 / $51.64	Professional		$37.70	$51.64	$51.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $104.58 / $530.16	Facility		$36.08	$104.58	$530.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $58.08 / $757.56	Professional		$33.38	$58.08	$757.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $67.13 / $332.00	Facility		$27.60	$67.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $30.98 / $94.50	Professional		$23.60	$30.98	$94.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Facility		$51.64	$51.64	$51.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $51.64 / $66.62	Professional		$45.51	$51.64	$66.62
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $126.00 / $597.00	Facility		$47.33	$126.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $70.98 / $115.00	Professional		$35.72	$70.98	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.98 / $75.84	Professional		$21.69	$30.98	$75.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $59.38 / $190.26	Facility		$59.38	$59.38	$190.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $58.00 / $68.55	Professional		$45.51	$58.00	$68.55