Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $56.16 / $901.80	Facility		$32.09	$56.16	$901.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $63.06 / $233.21	Professional		$38.83	$63.06	$233.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $50.45 / $63.06	Facility		$50.45	$50.45	$63.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $283.69	Professional		$63.06	$63.06	$283.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.84 / $189.84 / $199.33	Facility		$189.84	$189.84	$199.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $189.84 / $189.84	Professional		$189.84	$189.84	$189.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $220.14	Facility		$59.49	$59.49	$220.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $89.24 / $332.00	Facility		$59.49	$89.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $68.41 / $165.38	Professional		$68.41	$68.41	$165.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $65.44	Facility		$63.06	$63.06	$65.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $65.44	Professional		$63.06	$63.06	$65.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $555.00	Facility		$59.49	$59.49	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $111.11 / $196.15	Professional		$63.06	$111.11	$196.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $117.04	Professional		$63.06	$66.84	$117.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $65.44 / $65.44	Facility		$65.44	$65.44	$65.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $65.44 / $276.02	Professional		$63.06	$65.44	$276.02