Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $87.00 / $162.40	Facility		$35.47	$87.00	$162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $28.02 / $80.04	Professional		$14.89	$28.02	$80.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $150.80	Facility		$58.00	$58.00	$150.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $23.20 / $81.48	Professional		$12.34	$23.20	$81.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $58.00 / $58.00	Facility		$34.79	$58.00	$58.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $58.00	Professional		$42.34	$58.00	$58.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $141.33 / $215.47	Facility		$69.59	$141.33	$215.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $49.31 / $162.09	Professional		$18.02	$49.31	$162.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $75.40 / $332.00	Facility		$13.10	$75.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $60.51 / $106.14	Professional		$40.60	$60.51	$106.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $55.10 / $105.17	Professional		$26.62	$55.10	$105.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $141.33 / $254.50	Facility		$53.16	$141.33	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $47.36 / $159.41	Professional		$18.48	$47.36	$159.41
United Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $31.36 / $89.90	Professional		$18.27	$31.36	$89.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $66.70 / $73.86	Facility		$54.43	$66.70	$73.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $58.00 / $98.45	Professional		$48.52	$58.00	$98.45