Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $39.19 / $64.27	Facility		$34.85	$39.19	$64.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $39.19 / $64.27	Professional		$34.85	$39.19	$64.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $90.44 / $120.58	Facility		$60.29	$90.44	$120.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.17 / $116.81	Professional		$42.17	$42.17	$116.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.82 / $68.62 / $68.62	Facility		$63.82	$68.62	$68.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $68.62 / $68.62	Professional		$68.62	$68.62	$68.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $156.00	Facility		$44.23	$44.23	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $54.64	Professional		$37.60	$37.60	$54.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $217.83 / $332.00	Facility		$72.34	$217.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $63.30 / $110.33	Professional		$39.19	$63.30	$110.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $66.48 / $66.48	Professional		$56.56	$66.48	$66.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $555.00	Facility		$44.23	$44.23	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $37.60 / $97.50	Professional		$1.69	$37.60	$97.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $39.11 / $87.99	Professional		$21.46	$39.11	$87.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $62.58 / $62.58	Facility		$0.70	$62.58	$62.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $62.58 / $66.48	Professional		$62.58	$62.58	$66.48