Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $86.95 / $156.07	Facility		$45.15	$86.95	$156.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $47.38 / $82.50	Professional		$31.00	$47.38	$82.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $144.91	Facility		$55.74	$55.74	$144.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $32.95 / $119.84	Professional		$22.30	$32.95	$119.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $55.74 / $55.74	Facility		$33.44	$55.74	$55.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $55.74 / $55.74	Professional		$40.69	$55.74	$55.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $136.22 / $448.63	Facility		$68.14	$136.22	$448.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $75.31 / $180.26	Professional		$33.95	$75.31	$180.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $72.45 / $332.00	Facility		$26.10	$72.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $58.53 / $102.00	Professional		$39.02	$58.53	$102.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $55.41 / $101.07	Professional		$47.38	$55.41	$101.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $136.22 / $498.48	Facility		$51.08	$136.22	$498.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $78.90 / $167.22	Professional		$34.65	$78.90	$167.22
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $87.50	Professional		$23.41	$33.44	$87.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $64.09 / $153.76	Facility		$64.09	$64.09	$153.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $58.44 / $153.76	Professional		$47.38	$58.44	$153.76