Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $50.00	Facility		$33.33	$33.33	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $33.33 / $35.40	Professional		$28.75	$33.33	$35.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $42.63	Professional		$34.72	$34.72	$42.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $41.16 / $45.28	Facility		$41.16	$41.16	$45.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $41.16 / $41.16	Professional		$41.16	$41.16	$41.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $34.68 / $35.40	Facility		$33.67	$34.68	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $43.87 / $332.00	Facility		$30.84	$43.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $49.74	Professional		$39.88	$39.88	$49.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $39.88	Facility		$36.79	$36.79	$39.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $36.79 / $39.88	Professional		$36.79	$36.79	$39.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $597.00	Facility		$34.68	$34.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $52.91	Professional		$35.40	$35.40	$52.91
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $53.03	Professional		$34.72	$34.72	$53.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Facility		$39.88	$39.88	$39.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $36.79 / $39.88	Professional		$4.48	$36.79	$39.88