Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.62 / $42.93 / $67.23	Facility		$30.62	$42.93	$67.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $53.21 / $55.56	Professional		$30.62	$53.21	$55.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $166.98	Facility		$83.49	$83.49	$166.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $29.02 / $95.62	Professional		$23.37	$29.02	$95.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $69.55	Facility		$49.15	$49.15	$69.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $49.15 / $49.15	Professional		$49.15	$49.15	$49.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $175.33 / $332.00	Facility		$83.49	$175.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $150.28 / $232.10	Professional		$83.49	$150.28	$232.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $48.28	Facility		$47.80	$47.80	$48.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $48.28 / $51.30	Professional		$47.80	$48.28	$51.30
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 $0.09 / $51.59 / $142.97	Professional		$0.09	$51.59	$142.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $72.88 / $107.59	Professional		$27.76	$72.88	$107.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.28 / $97.60	Facility		$48.28	$48.28	$97.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $51.30 / $97.60	Professional		$47.80	$51.30	$97.60