Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $65.67 / $69.91	Facility		$63.77	$65.67	$69.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $69.94 / $107.80	Professional		$65.00	$69.94	$107.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $58.72 / $73.40	Facility		$58.72	$58.72	$73.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $66.06 / $71.51	Professional		$62.95	$66.06	$71.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $65.26 / $68.52	Facility		$65.26	$65.26	$68.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Professional		$65.26	$65.26	$65.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $63.71 / $230.58	Facility		$61.85	$63.71	$230.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.54 / $114.26 / $332.00	Facility		$69.54	$114.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $69.54 / $94.87	Professional		$69.54	$69.54	$94.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $73.40	Professional		$67.73	$67.73	$73.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $597.00	Facility		$63.71	$63.71	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $72.25 / $98.12	Professional		$56.57	$72.25	$98.12
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $106.71	Professional		$73.40	$77.26	$106.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $73.40	Professional		$67.73	$67.73	$73.40