Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $61.52 / $10,112.82	Facility		$50.43	$61.52	$10,112.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $51.24 / $108.73	Professional		$50.74	$51.24	$108.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $40.59 / $50.74	Facility		$40.59	$40.59	$50.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $50.74 / $74.92	Professional		$47.99	$50.74	$74.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $45.01 / $47.26	Facility		$45.01	$45.01	$47.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $45.01 / $45.01	Professional		$45.01	$45.01	$45.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $47.87 / $50.74	Facility		$45.66	$47.87	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $71.81 / $332.00	Facility		$47.87	$71.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $55.04 / $120.88	Professional		$55.04	$55.04	$120.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $38.65 / $52.65	Facility		$38.65	$38.65	$52.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $46.39 / $52.65	Professional		$38.65	$46.39	$52.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $47.87 / $555.00	Facility		$45.66	$47.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $50.74 / $70.02	Professional		$49.28	$50.74	$70.02
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $56.83 / $88.22	Professional		$50.74	$56.83	$88.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $52.65 / $52.65	Facility		$52.65	$52.65	$52.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $50.74 / $52.65	Professional		$42.00	$50.74	$52.65