Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $81.98 / $139.10	Facility		$49.95	$81.98	$139.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $90.72	Professional		$49.95	$49.95	$90.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $49.95 / $133.21	Professional		$44.97	$49.95	$133.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $73.06 / $76.70	Facility		$73.06	$73.06	$76.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.06 / $73.06	Professional		$73.06	$73.06	$73.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $60.53	Facility		$47.12	$47.12	$60.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $70.68 / $332.00	Facility		$47.12	$70.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $54.19 / $64.55	Professional		$49.95	$54.19	$64.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $51.84	Facility		$49.95	$49.95	$51.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $51.84	Professional		$49.95	$49.95	$51.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $555.00	Facility		$47.12	$47.12	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $49.95 / $92.83	Professional		$49.02	$49.95	$92.83
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $74.93	Professional		$49.95	$49.95	$74.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Facility		$51.84	$51.84	$51.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $51.84 / $80.25	Professional		$49.95	$51.84	$80.25