Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $67.38 / $126.07	Facility		$34.33	$67.38	$126.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $35.65 / $79.25	Professional		$25.84	$35.65	$79.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $110.19	Facility		$42.38	$42.38	$110.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $25.42 / $95.99	Professional		$19.72	$25.42	$95.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $42.38 / $42.38	Facility		$25.43	$42.38	$42.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $42.38 / $42.38	Professional		$30.94	$42.38	$42.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $103.02 / $374.10	Facility		$51.64	$103.02	$374.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $61.89 / $136.32	Professional		$26.75	$61.89	$136.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $59.33 / $332.00	Facility		$29.00	$59.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $44.22 / $77.56	Professional		$29.67	$44.22	$77.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Facility		$42.38	$42.38	$42.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $42.38 / $57.29	Professional		$40.26	$42.38	$57.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $103.02 / $415.66	Facility		$41.33	$103.02	$415.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $69.18 / $224.02	Professional		$27.94	$69.18	$224.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $29.67 / $82.09	Professional		$19.89	$29.67	$82.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $46.62 / $119.96	Facility		$46.62	$46.62	$119.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $46.62 / $112.62	Professional		$40.26	$46.62	$112.62