Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $113.26 / $195.88	Facility		$51.37	$113.26	$195.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $47.20 / $71.23	Professional		$38.86	$47.20	$71.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $185.20	Facility		$71.23	$71.23	$185.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $36.32 / $118.73	Professional		$23.14	$36.32	$118.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $71.23 / $71.23	Facility		$42.74	$71.23	$71.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.23 / $71.23	Professional		$52.00	$71.23	$71.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $144.15 / $562.42	Facility		$49.77	$144.15	$562.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $71.95 / $343.33	Professional		$40.24	$71.95	$343.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $92.60 / $332.00	Facility		$36.60	$92.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $42.74 / $130.35	Professional		$28.49	$42.74	$130.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $60.55 / $79.29	Professional		$26.22	$60.55	$79.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $173.68 / $597.00	Facility		$62.23	$173.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $81.77 / $115.11	Professional		$41.71	$81.77	$115.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $42.00 / $125.99	Professional		$29.92	$42.00	$125.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $81.91 / $106.94	Facility		$78.80	$81.91	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $60.55 / $85.61	Professional		$26.22	$60.55	$85.61