Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $58.69 / $96.03	Facility		$37.90	$58.69	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $58.69 / $96.03	Professional		$37.90	$58.69	$96.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $99.71 / $199.42	Facility		$99.71	$99.71	$199.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $51.40 / $133.40	Professional		$51.40	$51.40	$133.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $83.06 / $83.06	Facility		$77.25	$83.06	$83.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $83.06 / $83.06	Professional		$83.06	$83.06	$83.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $82.96	Professional		$43.91	$43.91	$82.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $224.35 / $332.00	Facility		$99.71	$224.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $73.79 / $182.47	Professional		$57.63	$73.79	$182.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $66.86 / $83.06	Professional		$62.94	$66.86	$83.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $555.00 / $74,999.25	Facility		$120.36	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $61.61 / $148.57	Professional		$43.91	$61.61	$148.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $52.75 / $91.48	Professional		$33.15	$52.75	$91.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $66.72 / $66.86	Professional		$62.94	$66.72	$66.86