Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $36.00 / $490.59	Facility		$31.05	$36.00	$490.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $37.35 / $38.25	Professional		$31.05	$37.35	$38.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $175.70 / $175.70	Facility		$175.70	$175.70	$175.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $175.70 / $175.70	Professional		$175.70	$175.70	$175.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $37.86 / $85.00	Facility		$36.77	$37.86	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $61.76	Facility		$35.70	$35.70	$61.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $35.70 / $35.70	Professional		$30.35	$35.70	$35.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $37.10 / $37.10	Facility		$35.70	$37.10	$37.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $37.10 / $37.10	Professional		$35.70	$37.10	$37.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $597.00	Facility		$37.86	$37.86	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $52.55	Professional		$37.50	$37.50	$52.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $35.70 / $37.10	Professional		$35.70	$35.70	$37.10