Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $75.25 / $135.07	Facility		$39.07	$75.25	$135.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $37.63 / $71.62	Professional		$26.05	$37.63	$71.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $48.24 / $125.42	Facility		$48.24	$48.24	$125.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $28.62 / $103.63	Professional		$19.30	$28.62	$103.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $48.24 / $48.24	Facility		$28.94	$48.24	$48.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $48.24 / $48.24	Professional		$35.22	$48.24	$48.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $117.49 / $377.22	Facility		$58.83	$117.49	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $63.23 / $155.47	Professional		$29.15	$63.23	$155.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $62.71 / $332.00	Facility		$22.10	$62.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $50.33 / $88.28	Professional		$33.77	$50.33	$88.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Facility		$47.80	$47.80	$47.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $47.80 / $61.66	Professional		$41.00	$47.80	$61.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $117.49 / $419.14	Facility		$44.22	$117.49	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $63.49 / $144.72	Professional		$29.36	$63.49	$144.72
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $73.11	Professional		$20.26	$28.94	$73.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $129.29	Facility		$55.47	$55.47	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $53.06 / $128.19	Professional		$41.00	$53.06	$128.19