Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $56.58 / $113.01	Facility		$28.50	$56.58	$113.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $42.26 / $74.18	Professional		$27.92	$42.26	$74.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.66 / $73.29 / $91.95	Professional	25	$14.66	$73.29	$91.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $50.12 / $84.36	Professional		$41.01	$50.12	$84.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $44.41	Facility		$44.41	$44.41	$44.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $44.41 / $57.31	Professional		$44.41	$44.41	$57.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Facility		$66.28	$66.28	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $54.32 / $116.29	Professional		$36.54	$54.32	$116.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $60.66 / $332.00	Facility		$23.00	$60.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $98.50 / $147.55	Professional		$69.59	$98.50	$147.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $58.63 / $58.63	Facility		$41.02	$58.63	$58.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $65.67 / $93.37	Professional		$37.43	$65.67	$93.37
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $53.59 / $53.59	Professional		$53.59	$53.59	$53.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $74,999.25	Facility		$66.28	$66.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $63.25 / $118.57	Professional		$37.25	$63.25	$118.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $49.70 / $100.97	Professional		$33.78	$49.70	$100.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $58.63 / $72.70	Facility		$48.26	$58.63	$72.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $68.59 / $122.68	Professional		$48.26	$68.59	$122.68