Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $102.94 / $8,383.54	Facility		$79.58	$102.94	$8,383.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $81.95 / $142.97	Professional		$78.80	$81.95	$142.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $78.80	Facility		$63.04	$63.04	$78.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $78.80 / $86.49	Professional		$66.73	$78.80	$86.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $69.59 / $1,208.00	Facility		$69.59	$69.59	$1,208.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $69.59 / $69.59	Professional		$69.59	$69.59	$69.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $74.33 / $78.79	Facility		$68.12	$74.33	$78.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $111.50 / $332.00	Facility		$74.33	$111.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $85.49 / $143.40	Professional		$85.49	$85.49	$143.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $78.80 / $81.77	Facility		$78.80	$78.80	$81.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $81.77	Professional		$78.80	$78.80	$81.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $74.33 / $555.00	Facility		$68.12	$74.33	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $113.83	Professional		$78.79	$78.79	$113.83
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $88.26 / $123.46	Professional		$78.80	$88.26	$123.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $81.77	Facility		$81.77	$81.77	$81.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $78.80 / $81.77	Professional		$42.00	$78.80	$81.77