Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $81.58 / $149.22	Facility		$43.61	$81.58	$149.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $43.61 / $76.97	Professional		$33.47	$43.61	$76.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $133.41	Facility		$51.31	$51.31	$133.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $39.96 / $141.72	Professional		$25.34	$39.96	$141.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $51.31 / $51.31	Facility		$30.79	$51.31	$51.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.31 / $51.31	Professional		$37.46	$51.31	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $108.39 / $136.93	Facility		$62.64	$108.39	$136.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $89.15 / $205.60	Professional		$38.17	$89.15	$205.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $66.70 / $332.00	Facility		$31.00	$66.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.53 / $95.95	Professional		$35.92	$53.53	$95.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $51.31 / $84.31	Professional		$48.74	$51.31	$84.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $125.15 / $254.50	Facility		$50.03	$125.15	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $79.53 / $165.49	Professional		$41.18	$79.53	$165.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $87.10	Professional		$21.55	$30.79	$87.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $59.01 / $127.05	Facility		$59.01	$59.01	$127.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $57.63 / $127.05	Professional		$43.61	$57.63	$127.05