Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $93.33	Facility		$38.02	$50.12	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $158.49	Professional		$39.81	$75.86	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $123.03	Professional		$44.67	$56.23	$123.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $114.82	Professional		$61.66	$61.66	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $251.19	Professional		$44.67	$95.50	$251.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $151.36	Facility		$37.15	$37.15	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $162.18	Professional		$89.13	$114.82	$162.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $169.82	Professional		$56.23	$100.00	$169.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $288.40	Professional		$87.10	$114.82	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $85.11	Facility		$40.74	$40.74	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $165.96	Professional		$38.90	$74.13	$165.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $74.13	Facility		$34.67	$40.74	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $158.49	Professional		$56.23	$85.11	$158.49