Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $50.09 / $82.12	Facility		$41.06	$50.09	$82.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $55.43	Professional		$41.11	$41.11	$55.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $32.89 / $41.11	Facility		$32.89	$32.89	$41.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $41.11 / $44.56	Professional		$2.54	$41.11	$44.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $43.29	Facility		$41.23	$41.23	$43.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $41.23 / $41.23	Professional		$41.23	$41.23	$41.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $43.58	Facility		$38.78	$38.78	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $58.17 / $332.00	Facility		$38.78	$58.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $57.17	Professional		$42.66	$42.66	$57.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $43.44	Facility		$41.11	$41.11	$43.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $43.44	Professional		$41.11	$41.11	$43.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $555.00	Facility		$38.78	$38.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $41.11 / $65.29	Professional		$2.00	$41.11	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $55.49	Professional		$41.11	$41.11	$55.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $43.44 / $43.44	Facility		$43.44	$43.44	$43.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $43.44	Professional		$41.11	$41.11	$43.44