Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $54.74 / $96.40	Facility		$29.27	$54.74	$96.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $29.27 / $64.38	Professional		$25.57	$29.27	$64.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $89.52	Facility		$34.43	$34.43	$89.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.58 / $92.62	Professional		$17.55	$23.58	$92.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $34.43 / $34.43	Facility		$20.66	$34.43	$34.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $34.43 / $34.43	Professional		$25.13	$34.43	$34.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $84.29 / $370.11	Facility		$42.25	$84.29	$370.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $55.59 / $111.53	Professional		$26.48	$55.59	$111.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $56.81 / $332.00	Facility		$38.00	$56.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $36.15 / $64.38	Professional		$24.10	$36.15	$64.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $34.43 / $62.43	Professional		$29.27	$34.43	$62.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $84.29 / $411.23	Facility		$33.57	$84.29	$411.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $62.30 / $112.82	Professional		$27.63	$62.30	$112.82
United Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $30.99 / $34.43	Facility		$30.99	$30.99	$34.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.54 / $65.08	Professional		$15.49	$22.54	$65.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $115.63	Facility		$37.86	$37.86	$115.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $37.86 / $99.46	Professional		$32.71	$37.86	$99.46