Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $49.26 / $80.76	Facility		$39.45	$49.26	$80.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $54.51	Professional		$39.45	$39.45	$54.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $309.50	Professional		$39.45	$39.45	$309.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $43.91 / $46.11	Facility		$43.91	$43.91	$46.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $43.91	Professional		$43.91	$43.91	$43.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $69.70	Facility		$37.21	$37.21	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $55.82 / $332.00	Facility		$37.21	$55.82	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $42.80 / $103.44	Professional		$42.80	$42.80	$103.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $40.94	Facility		$39.45	$39.45	$40.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.94	Professional		$39.45	$39.45	$40.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $555.00	Facility		$37.21	$37.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $39.45 / $175.96	Professional		$9.00	$39.45	$175.96
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $61.81	Professional		$39.45	$39.45	$61.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $40.94	Facility		$40.94	$40.94	$40.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $40.94 / $372.31	Professional		$39.45	$40.94	$372.31