Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $54.28 / $92.09	Facility		$44.11	$54.28	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.54 / $3,621.75	Professional		$44.10	$44.54	$3,621.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $44.11	Facility		$35.29	$35.29	$44.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $44.11 / $65.23	Professional		$43.27	$44.11	$65.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $44.52 / $46.75	Facility		$44.52	$44.52	$46.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $44.52 / $44.52	Professional		$44.52	$44.52	$44.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $61.35	Facility		$41.61	$41.61	$61.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $62.42 / $332.00	Facility		$41.61	$62.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $78.12	Professional		$45.77	$45.77	$78.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $36.17 / $44.94	Facility		$36.17	$36.17	$44.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $43.40 / $44.94	Professional		$36.17	$43.40	$44.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $555.00	Facility		$41.61	$41.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $62.58	Professional		$44.11	$44.11	$62.58
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $82.17	Professional		$44.11	$44.11	$82.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $44.11 / $44.94	Professional		$21.09	$44.11	$44.94