Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $81.86 / $9,449.62	Facility		$62.05	$81.86	$9,449.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $76.19	Professional		$61.44	$61.44	$76.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $61.44	Facility		$49.15	$49.15	$61.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $133.36	Professional		$61.44	$61.44	$133.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $71.48 / $75.06	Facility		$71.48	$71.48	$75.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $71.48 / $71.48	Professional		$71.48	$71.48	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $74.48 / $79.48	Facility		$57.96	$74.48	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $65.48	Professional		$61.44	$61.44	$65.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $95.63 / $332.00	Facility		$66.65	$95.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $66.65 / $79.48	Professional		$63.76	$66.65	$79.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $76.70 / $92.09	Facility		$57.96	$76.70	$92.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $72.45	Professional		$61.44	$61.44	$72.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $64.92 / $92.16	Professional		$59.69	$64.92	$92.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44