Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $102.06 / $182.94	Facility		$54.56	$102.06	$182.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $26.77 / $64.19	Professional		$22.03	$26.77	$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 / $36.70 / $88.61	Professional		$25.68	$36.70	$88.61
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 $22.82 / $61.49 / $309.39	Professional		$22.82	$61.49	$309.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $83.45 / $332.00	Facility		$24.00	$83.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $37.86 / $117.47	Professional		$25.68	$37.86	$117.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $54.56 / $67.29	Professional		$24.72	$54.56	$67.29
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 $28.03 / $41.72 / $99.49	Professional		$28.03	$41.72	$99.49
United Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $57.77 / $64.19	Facility		$57.77	$57.77	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $30.49 / $96.29	Professional		$22.30	$30.49	$96.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $75.83	Facility		$73.81	$73.81	$75.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $52.84 / $77.15	Professional		$24.72	$52.84	$77.15