Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $38.49 / $69.41	Facility		$31.55	$38.49	$69.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $32.22 / $40.59	Professional		$31.87	$32.22	$40.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $55.80	Professional		$32.22	$32.22	$55.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $61.38	Facility		$55.80	$55.80	$61.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Professional		$55.80	$55.80	$55.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $30.39 / $30.39	Facility		$22.49	$30.39	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $45.59 / $332.00	Facility		$30.39	$45.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $70.31	Professional		$32.22	$32.22	$70.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $55.80 / $55.80	Facility		$33.43	$55.80	$55.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $55.80 / $55.80	Professional		$33.43	$55.80	$55.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $30.39 / $555.00	Facility		$22.49	$30.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $30.07 / $32.22	Professional		$7.00	$30.07	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $50.48	Professional		$32.22	$32.22	$50.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Facility		$33.43	$33.43	$33.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $33.43 / $55.80	Professional		$14.99	$33.43	$55.80