Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $47.66 / $15,686.04	Facility		$36.65	$47.66	$15,686.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $42.99	Professional		$36.74	$36.74	$42.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $29.39 / $36.74	Facility		$29.39	$29.39	$36.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $36.74 / $52.68	Professional		$33.82	$36.74	$52.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $30.19 / $31.70	Facility		$30.19	$30.19	$31.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $30.19 / $30.19	Professional		$30.19	$30.19	$30.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $34.65 / $36.64	Facility		$30.81	$34.65	$36.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Professional		$36.74	$36.74	$36.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $57.19 / $332.00	Facility		$38.13	$57.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $38.13 / $44.82	Professional		$38.13	$38.13	$44.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $37.44	Facility		$36.74	$36.74	$37.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.44 / $37.44	Professional		$36.74	$37.44	$37.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $34.65 / $47.85	Facility		$30.81	$34.65	$47.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $41.60	Professional		$36.74	$36.74	$41.60
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $38.51 / $49.23	Professional		$36.74	$38.51	$49.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $37.44 / $37.44	Facility		$37.44	$37.44	$37.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.44 / $37.44	Professional		$36.74	$37.44	$37.44