Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $21.42 / $47.09	Facility		$18.11	$21.42	$47.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $21.79 / $22.31	Professional		$18.11	$21.79	$22.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $368.00 / $632.00	Professional		$299.20	$368.00	$632.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.70 / $302.70 / $302.70	Facility		$302.70	$302.70	$302.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $302.70 / $302.70	Professional		$302.70	$302.70	$302.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $199.49 / $236.36	Facility		$174.33	$199.49	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $185.37	Professional		$18.50	$18.50	$185.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $199.49 / $597.00	Facility		$174.33	$199.49	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
United Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $174.26 / $378.95	Professional		$109.10	$174.26	$378.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Facility		$18.50	$18.50	$18.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50