Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $125.05 / $224.15	Facility		$66.84	$125.05	$224.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $39.32 / $78.65	Professional		$29.38	$39.32	$78.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $204.49	Facility		$78.65	$78.65	$204.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $47.19 / $120.70	Professional		$31.46	$47.19	$120.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $78.65 / $78.65	Facility		$47.19	$78.65	$78.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $78.65 / $78.65	Professional		$57.41	$78.65	$78.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $158.99 / $425.27	Facility		$54.96	$158.99	$425.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $79.63 / $379.09	Professional		$30.43	$79.63	$379.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $102.25 / $332.00	Facility		$23.60	$102.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $46.40 / $143.93	Professional		$31.46	$46.40	$143.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $52.53 / $82.45	Professional		$35.75	$52.53	$82.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $191.56 / $472.52	Facility		$54.96	$191.56	$472.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $75.15 / $121.91	Professional		$31.63	$75.15	$121.91
United Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $35.04 / $114.04	Professional		$27.84	$35.04	$114.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $90.45 / $145.76	Facility		$90.45	$90.45	$145.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $52.53 / $94.53	Professional		$35.75	$52.53	$94.53