Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $102.41 / $183.57	Facility		$54.18	$102.41	$183.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $54.75 / $64.41	Professional		$46.71	$54.75	$64.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $167.47	Facility		$64.41	$64.41	$167.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $39.29 / $139.61	Professional		$31.81	$39.29	$139.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $64.41 / $64.41	Facility		$38.65	$64.41	$64.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $64.41 / $64.41	Professional		$47.02	$64.41	$64.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $130.72 / $661.97	Facility		$45.01	$130.72	$661.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $76.14 / $322.14	Professional		$47.93	$76.14	$322.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $83.73 / $332.00	Facility		$29.00	$83.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $38.65 / $117.87	Professional		$29.44	$38.65	$117.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Facility		$64.41	$64.41	$64.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $64.41 / $82.90	Professional		$27.01	$64.41	$82.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $157.51 / $636.63	Facility		$59.04	$157.51	$636.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $72.31 / $132.68	Professional		$51.40	$72.31	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $96.62	Professional		$27.05	$38.65	$96.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $74.06 / $74.06	Facility		$70.26	$74.06	$74.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $61.85 / $82.90	Professional		$26.22	$61.85	$82.90