Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $48.83 / $95.40	Facility		$22.98	$48.83	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $47.39 / $70.06	Professional		$21.67	$47.39	$70.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $40.90 / $94.42	Professional		$29.06	$40.90	$94.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Facility		$33.61	$33.61	$33.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $71.34	Professional		$33.61	$33.61	$71.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $122.13	Facility		$37.15	$37.15	$122.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $61.52 / $136.38	Professional		$27.20	$61.52	$136.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $56.23 / $332.00	Facility		$24.99	$56.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $73.41 / $111.08	Professional		$59.25	$73.41	$111.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $49.70 / $49.70	Facility		$49.70	$49.70	$49.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $66.59 / $112.77	Professional		$43.47	$66.59	$112.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $122.13 / $597.00	Facility		$37.15	$122.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $65.55 / $124.52	Professional		$28.19	$65.55	$124.52
United Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $55.72 / $113.75	Professional		$42.63	$55.72	$113.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $49.70	Facility		$28.89	$28.89	$49.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $65.97 / $107.29	Professional		$43.47	$65.97	$107.29