Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $154.63 / $636.11	Facility		$49.52	$154.63	$636.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $63.79 / $70.16	Professional		$53.03	$63.79	$70.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $59.68 / $59.68	Facility		$59.68	$59.68	$59.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $59.68 / $59.68	Professional		$59.68	$59.68	$59.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $54.11 / $85.00	Facility		$52.53	$54.11	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $35.67 / $332.00	Facility		$16.34	$35.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $16.34 / $16.34	Professional		$13.89	$16.34	$16.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Facility		$16.32	$16.32	$16.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $597.00	Facility		$54.11	$54.11	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $86.46	Professional		$64.05	$64.05	$86.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $16.32 / $20.39	Facility		$16.32	$16.32	$20.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $17.92	Professional		$16.32	$16.32	$17.92