Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $210.00 / $366.00	Facility		$39.54	$210.00	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $39.54 / $55.90	Professional		$30.82	$39.54	$55.90
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 $33.86 / $40.79 / $68.51	Professional		$33.86	$40.79	$68.51
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 $74.19 / $80.00 / $226.00	Facility		$74.19	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $65.97 / $178.84	Professional		$35.94	$65.97	$178.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $61.74 / $332.00	Facility		$27.00	$61.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $85.00	Professional		$45.00	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $61.33 / $85.86	Facility		$61.33	$61.33	$85.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $61.33 / $114.98	Professional		$45.82	$61.33	$114.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.19 / $555.00 / $597.00	Facility		$74.19	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $31.55 / $94.63	Professional		$17.79	$31.55	$94.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $63.71 / $121.90	Professional		$46.29	$63.71	$121.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $72.25 / $86.24	Facility		$61.33	$72.25	$86.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $63.90 / $139.82	Professional		$53.90	$63.90	$139.82