Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $105.91 / $222.09	Facility		$37.61	$105.91	$222.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $32.10 / $64.19	Professional		$29.38	$32.10	$64.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $166.89	Facility		$64.19	$64.19	$166.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $38.51 / $102.19	Professional		$25.68	$38.51	$102.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $64.19 / $64.19	Facility		$38.51	$64.19	$64.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $64.19 / $64.19	Professional		$46.86	$64.19	$64.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $130.02 / $166.60	Facility		$44.85	$130.02	$166.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $61.49 / $309.39	Professional		$30.43	$61.49	$309.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $83.45 / $332.00	Facility		$32.00	$83.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $38.51 / $117.47	Professional		$25.68	$38.51	$117.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $59.37 / $70.50	Professional		$30.51	$59.37	$70.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $156.65 / $254.50	Facility		$44.85	$156.65	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $53.67 / $99.49	Professional		$37.36	$53.67	$99.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $32.39 / $94.28	Professional		$22.72	$32.39	$94.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $90.51	Facility		$73.81	$73.81	$90.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $60.98 / $77.15	Professional		$30.51	$60.98	$77.15