Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $65.15 / $119.02	Facility		$35.50	$65.15	$119.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $35.50 / $66.98	Professional		$31.00	$35.50	$66.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $108.58	Facility		$41.76	$41.76	$108.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $28.59 / $112.33	Professional		$20.62	$28.59	$112.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $41.76 / $41.76	Facility		$25.06	$41.76	$41.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $41.76 / $41.76	Professional		$30.48	$41.76	$41.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $102.16 / $448.63	Facility		$51.21	$102.16	$448.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $67.39 / $159.26	Professional		$31.02	$67.39	$159.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $54.29 / $332.00	Facility		$26.10	$54.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $43.85 / $78.09	Professional		$29.23	$43.85	$78.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.76 / $75.72	Professional		$35.50	$41.76	$75.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $102.16 / $498.48	Facility		$40.71	$102.16	$498.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $69.04 / $135.10	Professional		$33.51	$69.04	$135.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $64.73	Professional		$17.54	$25.06	$64.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $153.76	Facility		$48.02	$48.02	$153.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $45.04 / $120.63	Professional		$35.50	$45.04	$120.63