Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $83.33 / $143.93	Facility		$42.93	$83.33	$143.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $26.77 / $50.50	Professional		$25.44	$26.77	$50.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $131.30	Facility		$50.50	$50.50	$131.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.15 / $90.43	Professional		$17.30	$26.15	$90.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $50.50 / $50.50	Facility		$30.30	$50.50	$50.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $50.50 / $50.50	Professional		$36.86	$50.50	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $102.46 / $368.03	Facility		$35.29	$102.46	$368.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $56.62 / $325.02	Professional		$36.77	$56.62	$325.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $65.65 / $332.00	Facility		$30.10	$65.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $30.30 / $92.42	Professional		$20.20	$30.30	$92.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $50.50 / $60.78	Professional		$37.39	$50.50	$60.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $123.45 / $408.92	Facility		$46.29	$123.45	$408.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $59.56 / $95.48	Professional		$37.57	$59.56	$95.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $29.40 / $74.17	Professional		$21.21	$29.40	$74.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $58.07 / $168.68	Facility		$58.07	$58.07	$168.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $54.03 / $66.31	Professional		$37.39	$54.03	$66.31