Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $40.45 / $82.45	Facility		$39.65	$40.45	$82.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $39.65 / $46.01	Professional		$34.21	$39.65	$46.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $27.82 / $34.78	Facility		$27.82	$27.82	$34.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $41.31 / $49.74	Professional		$39.38	$41.31	$49.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $32.81 / $36.09	Facility		$32.81	$32.81	$36.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $32.81	Professional		$32.81	$32.81	$32.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $36.90 / $42.14	Facility		$35.82	$36.90	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $49.08 / $332.00	Facility		$32.81	$49.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $52.55	Professional		$42.14	$42.14	$52.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $43.79 / $43.79	Facility		$42.14	$43.79	$43.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $43.79 / $43.79	Professional		$42.14	$43.79	$43.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $597.00	Facility		$36.90	$36.90	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $42.14 / $50.01	Professional		$34.78	$42.14	$50.01
United Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $41.31 / $59.72	Professional		$39.38	$41.31	$59.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $42.14 / $43.79	Professional		$21.46	$42.14	$43.79