Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $76.20 / $124.94	Facility		$62.47	$76.20	$124.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $125.44	Professional		$63.68	$63.68	$125.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $50.94 / $63.68	Facility		$50.94	$50.94	$63.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $63.68 / $78.54	Professional		$55.94	$63.68	$78.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $50.80 / $53.34	Facility		$50.80	$50.80	$53.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $50.80 / $50.80	Professional		$50.80	$50.80	$50.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $60.08 / $63.68	Facility		$54.39	$60.08	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $90.12 / $332.00	Facility		$60.08	$90.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $144.88	Professional		$69.09	$69.09	$144.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $66.09	Facility		$63.68	$63.68	$66.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $66.09	Professional		$63.68	$63.68	$66.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $60.08 / $555.00	Facility		$54.39	$60.08	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $63.68 / $79.97	Professional		$56.77	$63.68	$79.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $103.63	Professional		$63.68	$71.31	$103.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $66.09 / $66.09	Facility		$66.09	$66.09	$66.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $63.68 / $66.09	Professional		$42.00	$63.68	$66.09