Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.16 / $76.56	Professional		$67.15	$67.16	$76.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $67.41 / $67.41	Professional		$67.41	$67.41	$67.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $60.04 / $60.04	Facility		$60.04	$60.04	$60.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $60.04 / $60.04	Professional		$60.04	$60.04	$60.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $71.33 / $262.44	Facility		$69.26	$71.33	$262.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.79 / $67.79 / $138.97	Facility		$67.79	$67.79	$138.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $67.79 / $67.79	Professional		$67.79	$67.79	$67.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.16 / $66.16 / $66.16	Facility		$66.16	$66.16	$66.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $66.16 / $71.55	Professional		$66.16	$66.16	$71.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $71.33 / $597.00	Facility		$71.33	$71.33	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $50.56 / $74.02	Professional		$50.56	$50.56	$74.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $77.98 / $101.41	Professional		$66.09	$77.98	$101.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $66.16 / $66.16	Facility		$24.73	$66.16	$66.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $35.69 / $71.55	Professional		$24.73	$35.69	$71.55