Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $62.46 / $73.20	Facility		$23.37	$62.46	$73.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $43.59 / $68.29	Professional		$30.55	$43.59	$68.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $56.77 / $82.01	Professional		$37.11	$56.77	$82.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $54.22 / $54.22	Facility		$54.22	$54.22	$54.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $54.22 / $89.55	Professional		$54.22	$54.22	$89.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Facility		$51.05	$51.05	$51.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $97.63	Professional		$49.99	$49.99	$97.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $79.67 / $114.06	Professional		$58.82	$79.67	$114.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $37.10 / $52.56	Facility		$37.10	$37.10	$52.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $59.92 / $116.47	Professional		$46.99	$59.92	$116.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $555.00	Facility		$51.05	$51.05	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $56.36 / $154.81	Professional		$49.99	$56.36	$154.81
United Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $76.03 / $156.97	Professional		$52.09	$76.03	$156.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.47 / $52.56	Facility		$41.47	$41.47	$52.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $62.03 / $121.90	Professional		$46.99	$62.03	$121.90