Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $69.50 / $110.32	Facility		$55.16	$69.50	$110.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $66.73	Professional		$55.16	$55.16	$66.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $55.16 / $67.26	Professional		$52.23	$55.16	$67.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $50.19	Facility		$47.80	$47.80	$50.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $52.04 / $55.16	Facility		$50.71	$52.04	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $55.16	Professional		$54.60	$55.16	$55.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $93.67 / $332.00	Facility		$59.85	$93.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $59.85 / $68.06	Professional		$39.28	$59.85	$68.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $57.24	Facility		$55.16	$55.16	$57.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $57.24	Professional		$55.16	$55.16	$57.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $52.04 / $72.98	Facility		$50.71	$52.04	$72.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $68.25	Professional		$54.58	$55.16	$68.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $67.56	Professional		$22.06	$55.16	$67.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Facility		$57.24	$57.24	$57.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.24 / $57.24	Professional		$32.36	$57.24	$57.24