Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $41.63 / $65.31	Facility		$36.79	$41.63	$65.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $41.93 / $65.31	Professional		$29.62	$41.93	$65.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $51.39 / $141.82	Professional		$51.39	$51.39	$141.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $70.95 / $70.95	Facility		$65.98	$70.95	$70.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $70.95 / $70.95	Professional		$70.95	$70.95	$70.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Facility		$80.53	$80.53	$80.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $155.88 / $332.00	Facility		$85.18	$155.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $114.99 / $184.84	Professional		$85.18	$114.99	$184.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $27.23 / $49.75	Facility		$27.23	$27.23	$49.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $49.75 / $52.86	Professional		$27.23	$49.75	$52.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $597.00	Facility		$80.53	$80.53	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $51.11 / $107.33	Professional		$28.33	$51.11	$107.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $36.84 / $38.00	Facility		$36.84	$36.84	$38.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $36.84 / $52.86	Professional		$27.23	$36.84	$52.86