Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $110.06 / $190.10	Facility		$56.70	$110.06	$190.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $56.70 / $87.78	Professional		$49.52	$56.70	$87.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $173.42	Facility		$66.70	$66.70	$173.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $40.35 / $150.54	Professional		$31.81	$40.35	$150.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $66.70 / $66.70	Facility		$40.02	$66.70	$66.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $66.70 / $66.70	Professional		$48.69	$66.70	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $134.97 / $685.92	Facility		$46.61	$134.97	$685.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $74.88 / $427.84	Professional		$49.67	$74.88	$427.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $86.71 / $332.00	Facility		$33.20	$86.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $40.02 / $122.06	Professional		$30.48	$40.02	$122.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Facility		$66.70	$66.70	$66.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $66.70 / $88.50	Professional		$58.80	$66.70	$88.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $162.61 / $674.78	Facility		$61.14	$162.61	$674.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $91.72 / $137.40	Professional		$53.53	$91.72	$137.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $40.02 / $101.09	Professional		$28.01	$40.02	$101.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $245.61	Facility		$76.70	$76.70	$245.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $74.91 / $101.17	Professional		$58.80	$74.91	$101.17