Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $54.14 / $63.92	Facility		$45.94	$54.14	$63.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $57.58 / $73.79	Professional		$47.80	$57.58	$73.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $61.32 / $113.57	Professional		$49.38	$61.32	$113.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $85.75 / $85.75	Facility		$85.75	$85.75	$85.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $85.75 / $91.48	Professional		$85.75	$85.75	$91.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $91.01 / $332.00	Facility		$57.84	$91.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $85.77 / $128.36	Professional		$68.88	$85.77	$128.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $59.15 / $75.12	Facility		$58.11	$59.15	$75.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $75.12 / $128.87	Professional		$56.87	$75.12	$128.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $55.95 / $145.19	Professional		$55.38	$55.95	$145.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $74.11 / $143.97	Professional		$53.12	$74.11	$143.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $59.15 / $75.12	Facility		$57.32	$59.15	$75.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $79.63 / $150.50	Professional		$61.43	$79.63	$150.50