Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $114.26 / $191.55	Facility		$58.38	$114.26	$191.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $52.42 / $67.20	Professional		$49.90	$52.42	$67.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $174.75	Facility		$67.20	$67.20	$174.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $40.65 / $151.69	Professional		$29.71	$40.65	$151.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $67.20 / $67.20	Facility		$40.33	$67.20	$67.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $67.20	Professional		$49.06	$67.20	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $136.38 / $691.91	Facility		$46.97	$136.38	$691.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $75.61 / $431.50	Professional		$43.79	$75.61	$431.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $104.32 / $332.00	Facility		$65.20	$104.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $40.33 / $122.99	Professional		$26.88	$40.33	$122.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $67.20 / $89.19	Professional		$57.13	$67.20	$89.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $164.31 / $680.07	Facility		$61.60	$164.31	$680.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $77.02 / $138.44	Professional		$51.54	$77.02	$138.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $98.71	Professional		$28.23	$40.33	$98.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $247.52	Facility		$77.29	$77.29	$247.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $75.09 / $89.19	Professional		$59.22	$75.09	$89.19