Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $77.36 / $141.33	Facility		$42.15	$77.36	$141.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $42.15 / $77.12	Professional		$36.81	$42.15	$77.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $128.93	Facility		$49.59	$49.59	$128.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $32.06 / $115.08	Professional		$24.49	$32.06	$115.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $49.59 / $49.59	Facility		$29.75	$49.59	$49.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $49.59 / $49.59	Professional		$36.20	$49.59	$49.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $104.75 / $132.27	Facility		$60.60	$104.75	$132.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $80.23 / $198.59	Professional		$33.52	$80.23	$198.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $74.39 / $332.00	Facility		$43.00	$74.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $51.74 / $90.75	Professional		$34.71	$51.74	$90.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $49.59 / $89.92	Professional		$42.15	$49.59	$89.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $120.90 / $254.50	Facility		$48.35	$120.90	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $72.38 / $159.86	Professional		$39.67	$72.38	$159.86
United Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $44.63 / $49.59	Facility		$44.63	$44.63	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $76.86	Professional		$20.83	$29.75	$76.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $49.59 / $74.56	Professional		$45.44	$49.59	$74.56