Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.36 / $103.16 / $184.91	Facility		$56.36	$103.16	$184.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $55.15 / $64.88	Professional		$48.17	$55.15	$64.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $168.69	Facility		$64.88	$64.88	$168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $38.92 / $137.84	Professional		$28.68	$38.92	$137.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $64.88 / $64.88	Facility		$38.93	$64.88	$64.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $64.88 / $64.88	Professional		$47.36	$64.88	$64.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $131.41 / $667.96	Facility		$45.33	$131.41	$667.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $73.05 / $416.83	Professional		$48.37	$73.05	$416.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $84.34 / $332.00	Facility		$37.10	$84.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $38.61 / $118.73	Professional		$25.95	$38.61	$118.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $24.69 / $24.69	Facility		$24.69	$24.69	$24.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $38.53 / $68.02	Professional		$24.69	$38.53	$68.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $158.34 / $656.50	Facility		$59.46	$158.34	$656.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $89.18 / $133.65	Professional		$51.79	$89.18	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.93 / $100.56	Professional		$27.25	$38.93	$100.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $74.61 / $106.94	Facility		$74.61	$74.61	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $53.78 / $77.98	Professional		$26.22	$53.78	$77.98