Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $37.92 / $64.34	Facility		$30.78	$37.92	$64.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $35.74	Professional		$30.78	$30.78	$35.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $24.62 / $30.78	Facility		$24.62	$24.62	$30.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $30.78 / $32.25	Professional		$30.37	$30.78	$32.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $34.89	Facility		$33.22	$33.22	$34.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Professional		$33.22	$33.22	$33.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $32.32	Facility		$29.03	$29.03	$32.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $31.94	Professional		$30.78	$30.78	$31.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $46.17 / $332.00	Facility		$30.78	$46.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.02	Professional		$30.78	$30.78	$38.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $31.36	Facility		$30.78	$30.78	$31.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.36 / $31.36	Professional		$30.78	$31.36	$31.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $555.00	Facility		$29.03	$30.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $35.67	Professional		$30.78	$30.78	$35.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.53 / $41.47	Professional		$30.78	$32.53	$41.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $31.36 / $31.36	Facility		$31.36	$31.36	$31.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.36 / $31.36	Professional		$30.78	$31.36	$31.36