Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $52.63 / $134.69	Facility		$35.39	$52.63	$134.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.39 / $92.72	Professional		$28.00	$35.39	$92.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $31.13 / $69.01	Professional		$23.59	$31.13	$69.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $42.96 / $42.96	Facility		$42.96	$42.96	$42.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $42.96 / $42.96	Professional		$42.96	$42.96	$42.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $156.69	Facility		$33.47	$33.47	$156.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $51.13 / $114.04	Professional		$29.92	$51.13	$114.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $49.60 / $319.00	Facility		$30.17	$49.60	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $42.06 / $61.90	Professional		$32.07	$42.06	$61.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $11.08 / $11.08	Facility		$11.08	$11.08	$11.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $29.93 / $54.73	Professional		$11.08	$29.93	$54.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $156.69 / $597.00	Facility		$33.47	$156.69	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $44.24 / $96.95	Professional		$29.37	$44.24	$96.95
United Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $35.51 / $35.51	Facility		$29.92	$35.51	$35.51
United Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $36.44 / $75.48	Professional		$26.46	$36.44	$75.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $40.60 / $119.04	Facility		$40.60	$40.60	$119.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $40.60 / $81.23	Professional		$26.05	$40.60	$81.23