Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $29.57 / $46.40	Facility		$26.22	$29.57	$46.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $29.53 / $46.40	Professional		$16.20	$29.53	$46.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $116.98	Professional		$46.32	$46.32	$116.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $50.36 / $50.36	Facility		$46.83	$50.36	$50.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Professional		$50.36	$50.36	$50.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $110.62 / $332.00	Facility		$60.45	$110.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $81.61 / $131.18	Professional		$60.45	$81.61	$131.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $35.31	Facility		$19.07	$19.07	$35.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $35.31 / $37.52	Professional		$19.07	$35.31	$37.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $597.00	Facility		$57.04	$57.04	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $34.17 / $65.34	Professional		$20.10	$34.17	$65.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $35.31 / $38.00	Facility		$35.31	$35.31	$38.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $35.31 / $37.52	Professional		$19.07	$35.31	$37.52