Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $64.86 / $110.07	Facility		$39.31	$64.86	$110.07
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 $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 / $24.24 / $69.26	Professional		$15.72	$24.24	$69.26
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 / $123.28	Facility		$48.25	$83.04	$123.28
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 / $154.00 / $332.00	Facility		$47.17	$154.00	$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 / $71.28	Professional		$31.45	$37.34	$71.28
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 / $49.14 / $117.93	Professional		$25.55	$49.14	$117.93
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $66.15	Professional		$16.51	$23.59	$66.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $41.67 / $41.67	Facility		$17.48	$41.67	$41.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $39.31 / $46.27	Professional		$33.40	$39.31	$46.27