Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $91.45 / $164.14	Facility		$47.48	$91.45	$164.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $45.72 / $87.41	Professional		$31.80	$45.72	$87.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $152.41	Facility		$58.62	$58.62	$152.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $34.78 / $126.03	Professional		$23.45	$34.78	$126.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $58.62 / $58.62	Facility		$35.17	$58.62	$58.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $58.62 / $58.62	Professional		$42.79	$58.62	$58.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.53 / $143.02 / $460.33	Facility		$71.53	$143.02	$460.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $77.17 / $189.27	Professional		$35.49	$77.17	$189.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $76.20 / $332.00	Facility		$27.10	$76.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $61.55 / $107.27	Professional		$41.03	$61.55	$107.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $57.90 / $106.30	Professional		$49.83	$57.90	$106.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $143.02 / $511.48	Facility		$53.72	$143.02	$511.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $78.90 / $175.86	Professional		$35.75	$78.90	$175.86
United Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $58.62	Facility		$52.76	$52.76	$58.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $88.84	Professional		$24.62	$35.17	$88.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $67.41 / $157.79	Facility		$67.41	$67.41	$157.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $61.46 / $157.79	Professional		$49.83	$61.46	$157.79