Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $151.34 / $363.00	Facility		$38.24	$151.34	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $38.24 / $71.78	Professional		$17.32	$38.24	$71.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $49.10 / $75.00	Professional		$19.64	$49.10	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $80.00 / $226.00	Facility		$69.72	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $69.50 / $117.60	Professional		$25.41	$69.50	$117.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $95.90 / $332.00	Facility		$35.00	$95.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $108.68	Professional		$45.00	$45.00	$108.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $72.02 / $72.65	Facility		$58.12	$72.02	$72.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $58.12 / $108.46	Professional		$25.94	$58.12	$108.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $555.00 / $597.00	Facility		$69.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $67.50 / $117.79	Professional		$31.78	$67.50	$117.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $50.12 / $90.09	Professional		$30.96	$50.12	$90.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $68.16 / $81.56	Facility		$58.12	$68.16	$81.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $68.16 / $131.90	Professional		$50.84	$68.16	$131.90