Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $47.86 / $23,693.80	Facility		$36.26	$47.86	$23,693.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $43.87	Professional		$36.28	$36.28	$43.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $36.28	Facility		$29.02	$29.02	$36.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $36.28 / $55.60	Professional		$33.32	$36.28	$55.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $31.26 / $32.82	Facility		$31.26	$31.26	$32.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $31.26 / $31.26	Professional		$31.26	$31.26	$31.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $34.22 / $35.79	Facility		$31.29	$34.22	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $56.46 / $332.00	Facility		$39.35	$56.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $39.36 / $44.25	Professional		$37.64	$39.36	$44.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $36.96	Facility		$36.28	$36.28	$36.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.96 / $36.96	Professional		$36.28	$36.96	$36.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $34.22 / $46.07	Facility		$31.29	$34.22	$46.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $41.07	Professional		$36.28	$36.28	$41.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.46 / $48.89	Professional		$36.28	$38.46	$48.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Facility		$36.96	$36.96	$36.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.96 / $36.96	Professional		$36.28	$36.96	$36.96