Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $74.27 / $420.07	Facility		$29.68	$74.27	$420.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $69.22 / $87.21	Professional		$66.43	$69.22	$87.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $61.89 / $77.36	Facility		$61.89	$61.89	$77.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $69.62 / $78.33	Professional		$64.51	$69.62	$78.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.43 / $66.43 / $69.75	Facility		$66.43	$66.43	$69.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $66.43 / $66.43	Professional		$66.43	$66.43	$66.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $63.73 / $76.14	Facility		$61.87	$63.73	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $120.42 / $332.00	Facility		$73.29	$120.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $73.29 / $99.98	Professional		$73.29	$73.29	$99.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $71.38 / $77.36	Professional		$71.38	$71.38	$77.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $63.73 / $597.00	Facility		$63.73	$63.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $76.14 / $103.42	Professional		$18.91	$76.14	$103.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $117.09	Professional		$77.36	$81.43	$117.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $71.38 / $77.36	Professional		$71.38	$71.38	$77.36