Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $100.00	Facility		$54.95	$87.10	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $151.36	Professional		$56.23	$67.61	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $109.65	Professional		$58.88	$69.18	$109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $229.09	Professional		$66.07	$107.15	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $162.18	Facility		$102.33	$151.36	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $128.82	Professional		$70.79	$91.20	$128.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $151.36	Professional		$60.26	$102.33	$151.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $194.98	Professional		$89.13	$109.65	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $162.18	Professional		$51.29	$81.28	$162.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $173.78	Professional		$60.26	$85.11	$173.78