Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $85.70 / $143.66	Facility		$43.79	$85.70	$143.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $39.32 / $58.85	Professional		$26.71	$39.32	$58.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $131.07	Facility		$50.41	$50.41	$131.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $30.49 / $111.95	Professional		$24.04	$30.49	$111.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $50.41 / $50.41	Facility		$30.25	$50.41	$50.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $50.41 / $50.41	Professional		$36.79	$50.41	$50.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $101.75 / $518.19	Facility		$35.22	$101.75	$518.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $56.62 / $323.16	Professional		$37.52	$56.62	$323.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $65.53 / $332.00	Facility		$26.10	$65.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $30.00 / $92.25	Professional		$20.16	$30.00	$92.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Facility		$18.18	$18.18	$18.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $47.89 / $66.89	Professional		$18.18	$47.89	$66.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $122.59 / $597.00	Facility		$46.21	$122.59	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $57.76 / $103.84	Professional		$40.46	$57.76	$103.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.25 / $85.10	Professional		$21.17	$30.25	$85.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $57.97 / $185.65	Facility		$57.97	$57.97	$185.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $54.53 / $74.09	Professional		$41.16	$54.53	$74.09