Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $91.56 / $166.61	Facility		$65.26	$91.56	$166.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $101.32	Professional		$64.62	$64.62	$101.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $87.33	Professional		$64.62	$64.62	$87.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $75.25 / $79.01	Facility		$75.25	$75.25	$79.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $75.25	Professional		$75.25	$75.25	$75.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $81.37	Facility		$60.96	$60.96	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $91.44 / $332.00	Facility		$60.96	$91.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $70.09 / $138.27	Professional		$70.09	$70.09	$138.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $67.06	Facility		$64.62	$64.62	$67.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $67.06	Professional		$64.62	$64.62	$67.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $555.00	Facility		$60.96	$60.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $64.62 / $117.13	Professional		$7.00	$64.62	$117.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $101.24	Professional		$64.62	$64.62	$101.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Facility		$67.06	$67.06	$67.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $64.62 / $67.06	Professional		$7.87	$64.62	$67.06