Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $43.41 / $68.23	Facility		$34.11	$43.41	$68.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $43.41 / $75.06	Professional		$41.29	$43.41	$75.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $43.41 / $44.04	Professional		$32.86	$43.41	$44.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $41.00 / $43.05	Facility		$41.00	$41.00	$43.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $43.41	Facility		$40.95	$40.95	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $61.43 / $332.00	Facility		$40.95	$61.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $63.60	Professional		$47.10	$47.10	$63.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $43.41 / $45.05	Facility		$43.41	$43.41	$45.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $45.05	Professional		$43.41	$43.41	$45.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $555.00	Facility		$40.95	$40.95	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $43.41 / $62.18	Professional		$25.14	$43.41	$62.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $60.00	Professional		$43.41	$43.41	$60.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Facility		$45.05	$45.05	$45.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $43.41 / $45.05	Professional		$11.90	$43.41	$45.05