Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $35.77 / $56.03	Facility		$25.50	$35.77	$56.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $44.34 / $46.30	Professional		$25.50	$44.34	$46.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $139.13	Facility		$69.56	$69.56	$139.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $24.16 / $79.67	Professional		$19.46	$24.16	$79.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $57.96	Facility		$40.94	$40.94	$57.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $40.94 / $40.94	Professional		$40.94	$40.94	$40.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $146.10 / $332.00	Facility		$69.56	$146.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $125.23 / $193.40	Professional		$69.56	$125.23	$193.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $40.22	Facility		$39.82	$39.82	$40.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $40.22 / $42.72	Professional		$39.82	$40.22	$42.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $56.91 / $119.15	Professional		$42.99	$56.91	$119.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $62.61 / $87.66	Professional		$23.14	$62.61	$87.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $40.22 / $76.80	Facility		$40.22	$40.22	$76.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $42.72 / $76.80	Professional		$39.82	$42.72	$76.80