Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $96.51 / $190.09	Facility		$58.49	$96.51	$190.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $49.72 / $104.13	Professional		$29.25	$49.72	$104.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $152.07	Facility		$58.49	$58.49	$152.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $25.69 / $90.82	Professional		$23.40	$25.69	$90.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $58.49 / $58.49	Facility		$35.09	$58.49	$58.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Professional		$58.49	$58.49	$58.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $123.57 / $159.56	Facility		$71.69	$123.57	$159.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $91.05 / $189.27	Professional		$35.49	$91.05	$189.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $130.00 / $332.00	Facility		$70.19	$130.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $61.02 / $107.04	Professional		$40.94	$61.02	$107.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $55.57 / $104.32	Professional		$46.79	$55.57	$104.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $143.02 / $254.50	Facility		$57.03	$143.02	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $73.11 / $175.47	Professional		$38.02	$73.11	$175.47
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $90.66	Professional		$24.57	$35.09	$90.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $62.00 / $62.00	Facility		$62.00	$62.00	$62.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $58.49 / $68.84	Professional		$49.72	$58.49	$68.84