Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $65.72 / $115.86	Facility		$42.13	$65.72	$115.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $47.00 / $50.33	Professional		$42.13	$47.00	$50.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $42.12	Professional		$16.85	$16.85	$42.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $42.13 / $42.13	Facility		$25.28	$42.13	$42.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $42.13 / $42.13	Professional		$30.75	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $50.56 / $89.39	Facility		$28.93	$50.56	$89.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $47.12 / $203.07	Professional		$27.98	$47.12	$203.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $63.20 / $332.00	Facility		$42.13	$63.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $25.28 / $77.09	Professional		$19.25	$25.28	$77.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $40.02 / $47.32	Professional		$25.25	$40.02	$47.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $88.99 / $555.00	Facility		$19.91	$88.99	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $42.13 / $68.12	Professional		$27.38	$42.13	$68.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $25.28 / $67.66	Professional		$16.88	$25.28	$67.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $48.45 / $56.43	Facility		$48.45	$48.45	$56.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $41.81 / $50.64	Professional		$25.25	$41.81	$50.64