Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $78.48 / $408.98	Facility		$39.20	$78.48	$408.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $81.47	Professional		$61.31	$61.31	$81.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $42.05 / $73.20	Professional		$26.68	$42.05	$73.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Facility		$19.44	$19.44	$19.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $208.45 / $628.35	Facility		$67.65	$208.45	$628.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $84.25 / $335.18	Professional		$39.93	$84.25	$335.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $154.66 / $332.00	Facility		$85.92	$154.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $51.12 / $153.80	Professional		$39.52	$51.12	$153.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $76.79 / $103.62	Professional		$51.47	$76.79	$103.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $250.36 / $597.00	Facility		$56.27	$250.36	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $60.00 / $105.32	Professional		$40.40	$60.00	$105.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $50.07 / $173.81	Professional		$27.72	$50.07	$173.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $103.90 / $103.90	Facility		$67.25	$103.90	$103.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $91.02 / $108.59	Professional		$51.47	$91.02	$108.59