Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $63.90 / $95.85	Facility		$63.90	$63.90	$95.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $63.90 / $67.89	Professional		$55.11	$63.90	$67.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $66.56 / $66.56	Professional		$32.26	$66.56	$66.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $29.34	Facility		$26.67	$26.67	$29.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Professional		$26.67	$26.67	$26.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.85 / $67.89	Facility		$18.30	$18.85	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $67.89 / $67.89	Professional		$59.50	$67.89	$67.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $71.89 / $332.00	Facility		$16.77	$71.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $67.90 / $78.09	Professional		$26.83	$67.90	$78.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $67.89	Facility		$66.56	$66.56	$67.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $67.89	Professional		$66.56	$66.56	$67.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $18.85 / $597.00	Facility		$18.85	$18.85	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $142.00 / $142.00	Professional		$67.89	$142.00	$142.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $99.84	Professional		$66.56	$66.56	$99.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $66.56 / $67.89	Professional		$21.05	$66.56	$67.89