Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $64.86 / $127.76	Facility		$39.31	$64.86	$127.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $35.75 / $66.48	Professional		$30.66	$35.75	$66.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $102.21	Facility		$39.31	$39.31	$102.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $24.37 / $65.44	Professional		$15.72	$24.37	$65.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $39.31 / $39.31	Facility		$23.59	$39.31	$39.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $83.04 / $105.25	Facility		$48.25	$83.04	$105.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $61.24 / $127.33	Professional		$23.88	$61.24	$127.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $82.00 / $332.00	Facility		$47.17	$82.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $41.01 / $71.94	Professional		$27.52	$41.01	$71.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $37.34 / $70.11	Professional		$31.45	$37.34	$70.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $96.20 / $254.50	Facility		$38.33	$96.20	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $60.00 / $117.93	Professional		$25.55	$60.00	$117.93
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $60.93	Professional		$16.51	$23.59	$60.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $41.67 / $41.67	Facility		$30.96	$41.67	$41.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $39.31 / $46.27	Professional		$31.45	$39.31	$46.27