Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $95.94 / $175.28	Facility		$26.58	$95.94	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $31.53 / $61.50	Professional		$22.03	$31.53	$61.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $159.90	Facility		$61.50	$61.50	$159.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $24.60 / $86.41	Professional		$15.01	$24.60	$86.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $61.50 / $61.50	Facility		$36.90	$61.50	$61.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $61.50 / $61.50	Professional		$44.90	$61.50	$61.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $124.37 / $318.94	Facility		$42.98	$124.37	$318.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $62.10 / $296.43	Professional		$26.41	$62.10	$296.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $79.95 / $332.00	Facility		$12.60	$79.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $36.90 / $112.55	Professional		$24.60	$36.90	$112.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $45.60 / $64.47	Professional		$28.05	$45.60	$64.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $149.84 / $354.38	Facility		$42.98	$149.84	$354.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $39.69 / $95.33	Professional		$27.00	$39.69	$95.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.68 / $90.33	Professional		$21.77	$27.68	$90.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $70.72 / $126.55	Facility		$70.72	$70.72	$126.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $45.60 / $73.92	Professional		$28.05	$45.60	$73.92