Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $60.42 / $102.54	Facility		$36.61	$60.42	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $35.75 / $83.30	Professional		$31.13	$35.75	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $95.21	Facility		$36.61	$36.61	$95.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $24.37 / $69.26	Professional		$14.65	$24.37	$69.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $36.61 / $36.61	Facility		$21.97	$36.61	$36.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $46.46	Professional		$36.61	$36.61	$46.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $77.34 / $117.58	Facility		$44.86	$77.34	$117.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $56.91 / $119.16	Professional		$22.13	$56.91	$119.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $130.00 / $332.00	Facility		$43.94	$130.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $38.21 / $67.01	Professional		$25.63	$38.21	$67.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $34.79 / $65.31	Professional		$29.30	$34.79	$65.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $89.40 / $254.50	Facility		$35.70	$89.40	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $60.00 / $109.86	Professional		$23.80	$60.00	$109.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $55.50	Professional		$15.38	$21.97	$55.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $38.82 / $38.82	Facility		$38.82	$38.82	$38.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $36.61 / $43.10	Professional		$31.13	$36.61	$43.10