Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $46.70 / $83.38	Facility		$40.28	$46.70	$83.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $46.70 / $58.15	Professional		$40.28	$46.70	$58.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $48.65 / $57.10	Professional		$43.84	$48.65	$57.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $37.59	Facility		$35.79	$35.79	$37.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Professional		$35.79	$35.79	$35.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $39.38 / $49.62	Facility		$38.22	$39.38	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $71.13 / $332.00	Facility		$47.42	$71.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $64.97	Professional		$49.62	$49.62	$64.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $51.57 / $51.57	Facility		$49.62	$51.57	$51.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $51.57 / $51.57	Professional		$49.62	$51.57	$51.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $39.38 / $597.00	Facility		$39.38	$39.38	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $49.62 / $54.78	Professional		$7.00	$49.62	$54.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $68.17	Professional		$48.65	$48.65	$68.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $49.62 / $51.57	Professional		$12.67	$49.62	$51.57