Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $81.81 / $167.21	Facility		$51.45	$81.81	$167.21
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 $51.45 / $51.45 / $133.77	Facility		$51.45	$51.45	$133.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $55.81 / $141.76	Professional		$50.59	$55.81	$141.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $51.45 / $51.45	Facility		$30.87	$51.45	$51.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $197.20	Professional		$51.45	$51.45	$197.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $108.68 / $179.91	Facility		$63.06	$108.68	$179.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $82.66 / $168.52	Professional		$31.33	$82.66	$168.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $178.00 / $332.00	Facility		$61.74	$178.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $53.68 / $94.15	Professional		$36.02	$53.68	$94.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $48.88 / $93.29	Professional		$41.16	$48.88	$93.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $125.15 / $412.15	Facility		$50.16	$125.15	$412.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $91.15 / $156.65	Professional		$33.44	$91.15	$156.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $79.75	Professional		$21.61	$30.87	$79.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $51.45 / $60.56	Professional		$43.73	$51.45	$60.56