Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $96.67 / $173.28	Facility		$24.40	$96.67	$173.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.81 / $60.80	Professional		$6.49	$10.81	$60.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $158.08	Facility		$60.80	$60.80	$158.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $24.32 / $74.52	Professional		$4.83	$24.32	$74.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $60.80 / $60.80	Facility		$36.47	$60.80	$60.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $60.80 / $60.80	Professional		$44.38	$60.80	$60.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $122.95 / $157.55	Facility		$42.49	$122.95	$157.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $36.65 / $293.06	Professional		$9.22	$36.65	$293.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $79.04 / $332.00	Facility		$10.00	$79.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $35.86 / $111.26	Professional		$22.25	$35.86	$111.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $15.21 / $63.74	Professional		$10.35	$15.21	$63.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $128.44 / $254.50	Facility		$42.49	$128.44	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.11 / $94.24	Professional		$9.49	$15.11	$94.24
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $25.54 / $89.30	Professional		$15.62	$25.54	$89.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $69.92 / $69.92	Facility		$31.10	$69.92	$69.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $15.21 / $73.08	Professional		$10.35	$15.21	$73.08