Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $97.20 / $158.29	Facility		$55.54	$97.20	$158.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $135.00	Professional		$47.21	$47.21	$135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $144.40	Facility		$55.54	$55.54	$144.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $33.32 / $80.62	Professional		$22.22	$33.32	$80.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $55.54 / $55.54	Facility		$33.32	$55.54	$55.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $55.54 / $55.54	Professional		$40.54	$55.54	$55.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $112.35 / $143.96	Facility		$38.79	$112.35	$143.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $64.02 / $267.70	Professional		$33.40	$64.02	$267.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $72.20 / $332.00	Facility		$40.13	$72.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $33.32 / $101.64	Professional		$22.22	$33.32	$101.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $46.92 / $55.54	Professional		$35.65	$46.92	$55.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $135.36 / $254.50	Facility		$38.79	$135.36	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $41.66 / $114.41	Professional		$36.10	$41.66	$114.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $81.56	Professional		$23.33	$33.32	$81.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $58.87 / $58.87	Facility		$58.87	$58.87	$58.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $47.76 / $65.37	Professional		$34.78	$47.76	$65.37