Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $95.01 / $159.29	Facility		$48.54	$95.01	$159.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $47.51 / $68.41	Professional		$41.49	$47.51	$68.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $145.31	Facility		$55.89	$55.89	$145.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $33.81 / $124.15	Professional		$24.71	$33.81	$124.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $55.89 / $55.89	Facility		$33.53	$55.89	$55.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $55.89 / $55.89	Professional		$40.79	$55.89	$55.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $113.06 / $575.11	Facility		$39.04	$113.06	$575.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $62.83 / $359.90	Professional		$35.72	$62.83	$359.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $72.66 / $332.00	Facility		$29.10	$72.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $33.53 / $102.28	Professional		$25.54	$33.53	$102.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $55.89	Facility		$55.89	$55.89	$55.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $55.89 / $72.09	Professional		$49.25	$55.89	$72.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $136.22 / $597.00	Facility		$51.23	$136.22	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $52.92 / $115.13	Professional		$35.72	$52.92	$115.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.53 / $91.36	Professional		$23.47	$33.53	$91.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $64.27 / $205.84	Facility		$64.27	$64.27	$205.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $60.46 / $74.18	Professional		$49.25	$60.46	$74.18