Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $121.66 / $296.63	Facility		$69.52	$121.66	$296.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $71.79 / $350.00	Professional		$59.09	$71.79	$350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $69.52 / $180.75	Facility		$69.52	$69.52	$180.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $42.40 / $110.68	Professional		$27.81	$42.40	$110.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $69.52 / $69.52	Facility		$41.71	$69.52	$69.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $69.52 / $69.52	Professional		$50.75	$69.52	$69.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $140.62 / $180.19	Facility		$48.58	$140.62	$180.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $80.12 / $335.09	Professional		$40.67	$80.12	$335.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $90.38 / $332.00	Facility		$50.23	$90.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $41.71 / $127.22	Professional		$27.81	$41.71	$127.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.79 / $55.79 / $55.79	Facility		$55.79	$55.79	$55.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $59.09 / $71.26	Professional		$44.62	$59.09	$71.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $169.42 / $254.50	Facility		$48.58	$169.42	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $66.43 / $143.21	Professional		$45.19	$66.43	$143.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $38.24 / $100.80	Professional		$29.20	$38.24	$100.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $73.69 / $73.69	Facility		$73.69	$73.69	$73.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $66.04 / $81.81	Professional		$43.54	$66.04	$81.81