Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $120.20 / $215.46	Facility		$52.92	$120.20	$215.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $29.93 / $75.59	Professional		$16.32	$29.93	$75.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $196.56	Facility		$75.59	$75.59	$196.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $31.48 / $109.02	Professional		$30.24	$31.48	$109.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $75.59 / $75.59	Facility		$45.36	$75.59	$75.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $75.59 / $75.59	Professional		$55.19	$75.59	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $153.33 / $196.48	Facility		$57.49	$153.33	$196.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $54.79 / $206.95	Professional		$18.23	$54.79	$206.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $149.35 / $332.00	Facility		$75.59	$149.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $59.72 / $138.35	Professional		$34.54	$59.72	$138.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $71.81 / $90.86	Professional		$19.22	$71.81	$90.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $184.74 / $263.95	Facility		$69.29	$184.74	$263.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $45.95 / $174.56	Professional		$19.62	$45.95	$174.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $34.02 / $114.58	Professional		$17.96	$34.02	$114.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $86.94 / $86.94	Facility		$38.28	$86.94	$86.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $71.81 / $90.86	Professional		$18.75	$71.81	$90.86