Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $76.89 / $130.47	Facility		$46.60	$76.89	$130.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $54.06 / $83.88	Professional		$36.35	$54.06	$83.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $121.16	Facility		$46.60	$46.60	$121.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $36.79 / $439.95	Professional		$21.14	$36.79	$439.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $46.60 / $46.60	Facility		$27.96	$46.60	$46.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $46.60 / $46.60	Professional		$34.02	$46.60	$46.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $98.44 / $124.81	Facility		$57.14	$98.44	$124.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $72.62 / $171.72	Professional		$28.57	$72.62	$171.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $97.86 / $332.00	Facility		$46.60	$97.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $48.62 / $85.28	Professional		$32.61	$48.62	$85.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $46.60 / $84.50	Professional		$39.61	$46.60	$84.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $114.07 / $254.50	Facility		$45.44	$114.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $82.56 / $220.00	Professional		$31.88	$82.56	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $73.16	Professional		$19.57	$27.96	$73.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $49.40 / $49.40	Facility		$30.54	$49.40	$49.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $46.60 / $54.85	Professional		$39.61	$46.60	$54.85