Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $52.81 / $89.61	Facility		$43.19	$52.81	$89.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $58.44	Professional		$43.19	$43.19	$58.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $43.19	Facility		$34.54	$34.54	$43.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $83.72	Professional		$43.19	$43.19	$83.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $43.97 / $46.17	Facility		$43.97	$43.97	$46.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Professional		$43.97	$43.97	$43.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $46.09	Facility		$40.75	$40.75	$46.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $61.13 / $332.00	Facility		$40.75	$61.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $44.82 / $55.83	Professional		$44.82	$44.82	$55.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $44.01	Facility		$43.19	$43.19	$44.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $44.01	Professional		$43.19	$43.19	$44.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $555.00	Facility		$40.75	$40.75	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.38 / $63.83	Professional		$43.19	$43.38	$63.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $62.44	Professional		$43.19	$43.19	$62.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.01 / $44.01 / $44.01	Facility		$44.01	$44.01	$44.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $44.01 / $44.10	Professional		$43.19	$44.01	$44.10