Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $80.23 / $141.43	Facility		$50.25	$80.23	$141.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $50.33 / $54.62	Professional		$42.13	$50.33	$54.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $31.37	Professional		$6.00	$6.00	$31.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $51.43 / $51.43	Facility		$30.86	$51.43	$51.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $51.43 / $51.43	Professional		$37.54	$51.43	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $29.29 / $89.39	Facility		$28.71	$29.29	$89.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.66 / $247.89	Professional		$42.13	$52.66	$247.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $77.15 / $332.00	Facility		$51.43	$77.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.86 / $94.12	Professional		$19.38	$30.86	$94.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $44.93 / $55.49	Professional		$25.25	$44.93	$55.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $89.39 / $555.00	Facility		$19.91	$89.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $42.13 / $105.95	Professional		$27.38	$42.13	$105.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $30.76 / $73.92	Professional		$16.88	$30.76	$73.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $60.86 / $60.86	Facility		$54.66	$60.86	$60.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $44.93 / $63.61	Professional		$25.25	$44.93	$63.61