Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $120.61 / $196.42	Facility		$65.47	$120.61	$196.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $36.00 / $75.81	Professional		$28.29	$36.00	$75.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $68.92 / $179.19	Facility		$68.92	$68.92	$179.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $38.44 / $101.11	Professional		$32.40	$38.44	$101.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $68.92 / $68.92	Facility		$41.35	$68.92	$68.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $68.92 / $68.92	Professional		$50.31	$68.92	$68.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $89.19 / $168.72	Facility		$45.30	$89.19	$168.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $79.30 / $332.19	Professional		$43.68	$79.30	$332.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $96.49 / $332.00	Facility		$58.54	$96.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $41.00 / $128.88	Professional		$27.57	$41.00	$128.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $65.47 / $77.40	Professional		$46.77	$65.47	$77.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $145.60 / $555.00	Facility		$19.91	$145.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $66.14 / $141.97	Professional		$52.67	$66.14	$141.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $41.35 / $103.38	Professional		$28.95	$41.35	$103.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $73.06 / $73.06	Facility		$66.62	$73.06	$73.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $68.88 / $81.12	Professional		$46.77	$68.88	$81.12