Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $72.00 / $129.05	Facility		$45.23	$72.00	$129.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $49.75	Professional		$45.22	$45.23	$49.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $27.39 / $60.92	Professional		$18.11	$27.39	$60.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $45.23 / $45.23	Facility		$27.14	$45.23	$45.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $45.23 / $45.23	Professional		$33.02	$45.23	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $54.34 / $95.97	Facility		$45.81	$54.34	$95.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $47.89 / $72.87	Professional		$28.82	$47.89	$72.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $67.92 / $332.00	Facility		$45.28	$67.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $27.14 / $82.86	Professional		$20.69	$27.14	$82.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Facility		$27.14	$27.14	$27.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $39.86 / $54.42	Professional		$27.14	$39.86	$54.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $95.65 / $555.00	Facility		$19.91	$95.65	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $45.23 / $70.18	Professional		$29.20	$45.23	$70.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $27.17 / $61.13	Professional		$22.62	$27.17	$61.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $64.02	Facility		$52.07	$52.07	$64.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $47.34 / $58.35	Professional		$28.36	$47.34	$58.35