Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $33.64 / $57.46	Facility		$23.89	$33.64	$57.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $33.64 / $51.90	Professional		$23.89	$33.64	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $88.07	Professional		$23.57	$23.57	$88.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $45.73 / $45.73	Facility		$42.53	$45.73	$45.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $45.73 / $45.73	Professional		$45.73	$45.73	$45.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Facility		$64.31	$64.31	$64.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $100.45 / $332.00	Facility		$54.89	$100.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $74.09 / $119.11	Professional		$54.89	$74.09	$119.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $31.73	Facility		$14.19	$14.19	$31.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $31.73 / $33.72	Professional		$14.19	$31.73	$33.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $597.00	Facility		$64.31	$64.31	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $94.02	Professional		$28.02	$28.02	$94.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $32.93 / $61.61	Professional		$18.26	$32.93	$61.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $39.28	Facility		$31.73	$31.73	$39.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $31.73 / $33.72	Professional		$14.19	$31.73	$33.72