Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $33.35 / $54.89	Facility		$25.26	$33.35	$54.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $33.35 / $54.89	Professional		$25.26	$33.35	$54.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $36.35 / $77.48	Professional		$29.08	$36.35	$77.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $48.36 / $48.36	Facility		$44.97	$48.36	$48.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $48.36 / $48.36	Professional		$48.36	$48.36	$48.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $46.87	Professional		$34.86	$34.86	$46.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.04 / $130.59 / $332.00	Facility		$58.04	$130.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $44.59 / $102.73	Professional		$33.19	$44.59	$102.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $30.39 / $30.39	Facility		$30.39	$30.39	$30.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $41.96 / $41.96	Professional		$30.39	$41.96	$41.96
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $555.00	Facility		$41.02	$41.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $35.68 / $98.91	Professional		$34.86	$35.68	$98.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $29.00 / $53.21	Professional		$19.30	$29.00	$53.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $41.96 / $41.96	Facility		$33.22	$41.96	$41.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $41.96 / $41.96	Professional		$30.39	$41.96	$41.96