Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $82.69 / $140.56	Facility		$47.25	$82.69	$140.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $83.30	Professional		$32.50	$39.31	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $122.85	Facility		$47.25	$47.25	$122.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $41.11 / $127.99	Professional		$18.89	$41.11	$127.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $47.25 / $47.25	Facility		$28.35	$47.25	$47.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $99.81 / $164.52	Facility		$57.98	$99.81	$164.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $75.81 / $191.42	Professional		$28.70	$75.81	$191.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $226.00 / $346.00	Facility		$56.70	$226.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $49.30 / $86.47	Professional		$33.08	$49.30	$86.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $44.89 / $84.27	Professional		$37.79	$44.89	$84.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $114.93 / $417.95	Facility		$46.07	$114.93	$417.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $60.00 / $144.03	Professional		$30.71	$60.00	$144.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $74.18	Professional		$19.85	$28.35	$74.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $50.09 / $50.09	Facility		$13.51	$50.09	$50.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $47.25 / $55.61	Professional		$37.79	$47.25	$55.61