Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $67.69 / $110.96	Facility		$54.71	$67.69	$110.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $74.90	Professional		$54.71	$54.71	$74.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $43.77 / $54.71	Facility		$43.77	$43.77	$54.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $120.64	Professional		$54.71	$54.71	$120.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $57.47 / $60.34	Facility		$57.47	$57.47	$60.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $57.47 / $57.47	Professional		$57.47	$57.47	$57.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $66.37	Facility		$51.61	$51.61	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $77.42 / $332.00	Facility		$51.61	$77.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $75.92	Professional		$59.35	$59.35	$75.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $56.77	Facility		$54.71	$54.71	$56.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $56.77	Professional		$54.71	$54.71	$56.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $555.00	Facility		$51.61	$51.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.95 / $81.75	Professional		$54.71	$55.95	$81.75
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $73.84	Professional		$54.71	$54.71	$73.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $56.77 / $56.77	Facility		$56.77	$56.77	$56.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $56.77 / $64.70	Professional		$54.71	$56.77	$64.70