Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $32.47 / $62.87	Facility		$28.94	$32.47	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $32.60 / $62.87	Professional		$28.94	$32.60	$62.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $94.92	Professional		$33.31	$33.31	$94.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $55.39 / $55.39	Facility		$51.51	$55.39	$55.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $55.39 / $55.39	Professional		$55.39	$55.39	$55.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $49.34	Professional		$33.95	$33.95	$49.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $149.58 / $332.00	Facility		$66.48	$149.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $49.86 / $121.66	Professional		$38.29	$49.86	$121.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $47.87	Facility		$47.87	$47.87	$47.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $48.06 / $55.39	Professional		$47.87	$48.06	$55.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $555.00	Facility		$39.94	$39.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $39.94 / $96.56	Professional		$33.95	$39.94	$96.56
United Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $33.17 / $57.31	Professional		$22.11	$33.17	$57.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $48.06 / $48.06	Facility		$47.58	$48.06	$48.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $48.06 / $48.06	Professional		$47.87	$48.06	$48.06