Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $92.55 / $151.72	Facility		$75.86	$92.55	$151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $102.41	Professional		$75.86	$75.86	$102.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $60.69 / $75.86	Facility		$60.69	$60.69	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $75.86 / $81.18	Professional		$62.26	$75.86	$81.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $57.40 / $60.27	Facility		$57.40	$57.40	$60.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $57.40 / $57.40	Professional		$57.40	$57.40	$57.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $71.56 / $74.48	Facility		$57.56	$71.56	$74.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $107.36 / $332.00	Facility		$71.56	$107.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $78.72 / $108.67	Professional		$78.72	$78.72	$108.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $78.72	Facility		$75.86	$75.86	$78.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $78.72	Professional		$75.86	$75.86	$78.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $71.56 / $555.00	Facility		$57.56	$71.56	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $75.86 / $93.32	Professional		$70.25	$75.86	$93.32
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $102.52	Professional		$75.86	$75.86	$102.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $78.72 / $78.72	Facility		$78.72	$78.72	$78.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $75.86 / $78.72	Professional		$31.94	$75.86	$78.72