Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $73.33	Facility		$59.82	$59.82	$73.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $68.09 / $82.32	Professional		$54.17	$68.09	$82.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $56.70 / $90.10	Professional		$41.00	$56.70	$90.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $90.79 / $90.79	Facility		$90.79	$90.79	$90.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $90.79 / $90.79	Professional		$90.79	$90.79	$90.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $109.72 / $252.35	Professional		$53.81	$109.72	$252.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $128.75 / $192.67	Professional		$88.79	$128.75	$192.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $67.00 / $67.00	Facility		$64.06	$67.00	$67.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $69.62 / $138.32	Professional		$53.80	$69.62	$138.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $555.00	Facility		$77.00	$77.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $113.71 / $252.35	Professional		$55.17	$113.71	$252.35
Optum Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $86.25 / $132.41	Professional		$59.75	$86.25	$132.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $84.92 / $189.59	Professional		$61.54	$84.92	$189.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $82.07 / $82.07	Facility		$64.06	$82.07	$82.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $82.07 / $335.23	Professional		$61.55	$82.07	$335.23