Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $96.86 / $158.78	Facility		$79.26	$96.86	$158.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $107.18	Professional		$79.26	$79.26	$107.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $63.41 / $79.26	Facility		$63.41	$63.41	$79.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $79.26 / $79.26	Professional		$74.29	$79.26	$79.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $66.25 / $69.56	Facility		$66.25	$66.25	$69.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $74.77 / $79.26	Facility		$68.12	$74.77	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $112.16 / $332.00	Facility		$74.77	$112.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $102.43	Professional		$77.84	$77.84	$102.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $82.25	Facility		$79.26	$79.26	$82.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $82.25	Professional		$79.26	$79.26	$82.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $74.77 / $555.00	Facility		$68.12	$74.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $108.20	Professional		$79.26	$79.26	$108.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $116.88	Professional		$79.26	$79.26	$116.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $82.25 / $82.25	Facility		$82.25	$82.25	$82.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $82.25	Professional		$79.26	$79.26	$82.25