Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $70.06 / $114.86	Facility		$56.10	$70.06	$114.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $69.48	Professional		$56.10	$56.10	$69.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $56.10	Facility		$44.88	$44.88	$56.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $56.10 / $82.47	Professional		$51.01	$56.10	$82.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $51.19	Facility		$48.75	$48.75	$51.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Professional		$48.75	$48.75	$48.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $52.93 / $56.10	Facility		$50.46	$52.93	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $79.40 / $332.00	Facility		$52.93	$79.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $58.22 / $76.89	Professional		$58.22	$58.22	$76.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $57.16	Facility		$56.10	$56.10	$57.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.16	Professional		$56.10	$56.10	$57.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $52.93 / $555.00	Facility		$50.46	$52.93	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $56.10 / $73.44	Professional		$55.60	$56.10	$73.44
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $78.61	Professional		$56.10	$56.10	$78.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $57.16 / $57.16	Facility		$57.16	$57.16	$57.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.16	Professional		$56.10	$56.10	$57.16