Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $71.53 / $113.83	Facility		$49.53	$71.53	$113.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $56.33 / $103.87	Professional		$48.28	$56.33	$103.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $62.33 / $117.24	Professional		$50.71	$62.33	$117.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Facility		$93.00	$93.00	$93.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $96.85 / $191.89	Professional		$53.35	$96.85	$191.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $319.00 / $332.00	Facility		$97.94	$319.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $90.96 / $133.00	Professional		$68.91	$90.96	$133.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $59.36 / $59.36	Facility		$59.36	$59.36	$59.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $94.98 / $128.55	Professional		$51.87	$94.98	$128.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $555.00	Facility		$72.36	$72.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $96.61 / $174.65	Professional		$64.65	$96.61	$174.65
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $72.38 / $149.16	Professional		$48.53	$72.38	$149.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $59.36 / $59.36	Facility		$59.36	$59.36	$59.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $94.98 / $161.22	Professional		$61.02	$94.98	$161.22