Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $98.60 / $165.30	Facility		$55.10	$98.60	$165.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $49.30 / $59.16	Professional		$43.06	$49.30	$59.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $150.80	Facility		$58.00	$58.00	$150.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $35.09 / $130.88	Professional		$27.66	$35.09	$130.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $58.00 / $58.00	Facility		$34.79	$58.00	$58.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $58.00	Professional		$42.34	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $75.40 / $332.00	Facility		$32.10	$75.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.79 / $106.14	Professional		$23.20	$34.79	$106.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $58.00 / $76.97	Professional		$49.30	$58.00	$76.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $254.50 / $74,999.25	Facility		$13.73	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.48 / $118.38	Professional		$45.00	$66.48	$118.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.79 / $87.00	Professional		$24.36	$34.79	$87.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $213.62	Facility		$66.70	$66.70	$213.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $64.81 / $87.85	Professional		$51.11	$64.81	$87.85