Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $51.34 / $77.01	Facility		$51.34	$51.34	$77.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $51.34 / $54.55	Professional		$44.28	$51.34	$54.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $60.80	Professional		$56.42	$56.42	$60.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $62.06	Facility		$56.42	$56.42	$62.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $63.45 / $63.45	Facility		$54.55	$63.45	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $81.83 / $332.00	Facility		$54.55	$81.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $77.30	Professional		$54.55	$54.55	$77.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $56.42 / $56.42	Facility		$54.55	$56.42	$56.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $56.42 / $56.42	Professional		$54.55	$56.42	$56.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $63.45 / $597.00	Facility		$54.55	$63.45	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $46.01 / $54.55	Professional		$11.00	$46.01	$54.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $76.16	Professional		$56.42	$56.42	$76.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $54.55 / $56.42	Professional		$28.63	$54.55	$56.42