Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $39.19 / $60.56	Facility		$33.03	$39.19	$60.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $37.43 / $60.56	Professional		$32.82	$37.43	$60.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $82.62 / $110.16	Facility		$55.08	$82.62	$110.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $111.67	Professional		$38.72	$38.72	$111.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $65.61 / $65.61	Facility		$61.02	$65.61	$65.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $65.61 / $65.61	Professional		$65.61	$65.61	$65.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $99.91	Facility		$40.36	$40.36	$99.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $40.36	Professional		$34.31	$34.31	$40.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $199.00 / $332.00	Facility		$66.09	$199.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $57.83 / $100.80	Professional		$35.79	$57.83	$100.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $66.48 / $66.48	Professional		$53.22	$66.48	$66.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $555.00	Facility		$40.36	$40.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $34.31 / $90.96	Professional		$29.76	$34.31	$90.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $37.54 / $65.81	Professional		$20.25	$37.54	$65.81
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