Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $107.02 / $192.08	Facility		$55.57	$107.02	$192.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $58.31 / $128.28	Professional		$38.82	$58.31	$128.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $178.36	Facility		$68.59	$68.59	$178.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $54.40 / $166.07	Professional		$38.86	$54.40	$166.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $68.59 / $68.59	Facility		$41.16	$68.59	$68.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $68.59 / $68.59	Professional		$50.08	$68.59	$68.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $167.72 / $561.97	Facility		$83.80	$167.72	$561.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $110.65 / $221.94	Professional		$52.74	$110.65	$221.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $89.18 / $332.00	Facility		$38.60	$89.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $72.03 / $128.28	Professional		$48.02	$72.03	$128.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $68.59 / $124.39	Professional		$58.31	$68.59	$124.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $167.72 / $624.41	Facility		$66.89	$167.72	$624.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $114.38 / $221.78	Professional		$55.05	$114.38	$221.78
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $41.25 / $147.81	Professional		$30.87	$41.25	$147.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $75.45 / $252.66	Facility		$75.45	$75.45	$252.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $73.98 / $198.16	Professional		$59.95	$73.98	$198.16