Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $57.92 / $133.38	Facility		$49.96	$57.92	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $60.09 / $63.96	Professional		$49.96	$60.09	$63.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $51.17 / $63.96	Facility		$51.17	$51.17	$63.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $96.23	Professional		$60.34	$60.34	$96.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $67.16	Facility		$63.96	$63.96	$67.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $66.02 / $85.00	Facility		$61.54	$66.02	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.34	Professional		$61.54	$61.54	$72.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $92.31 / $332.00	Facility		$61.54	$92.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $78.03	Professional		$61.54	$61.54	$78.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $63.96 / $63.96	Facility		$61.54	$63.96	$63.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $63.96	Professional		$61.54	$61.54	$63.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $85.00 / $555.00	Facility		$64.09	$85.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.40	Professional		$61.54	$61.54	$72.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $81.31	Professional		$60.34	$63.96	$81.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $63.96	Professional		$61.54	$61.54	$63.96