Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Facility		$136.00	$136.00	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $67.13 / $95.37	Professional		$38.15	$67.13	$95.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $69.45 / $128.59	Professional		$52.22	$69.45	$128.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $93.48 / $93.48	Facility		$93.48	$93.48	$93.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $93.48 / $93.48	Professional		$93.48	$93.48	$93.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $89.27 / $95.48	Facility		$40.59	$89.27	$95.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $81.05 / $225.81	Professional		$37.15	$81.05	$225.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $106.72 / $161.56	Professional		$94.50	$106.72	$161.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $73.59 / $73.59	Facility		$73.59	$73.59	$73.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $73.59 / $139.60	Professional		$40.24	$73.59	$139.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $89.27 / $597.00	Facility		$40.59	$89.27	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $79.38 / $203.87	Professional		$36.67	$79.38	$203.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $66.67 / $138.78	Professional		$39.84	$66.67	$138.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $73.59 / $73.59	Facility		$73.59	$73.59	$73.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $81.30 / $139.60	Professional		$61.97	$81.30	$139.60