Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.38 / $58.10	Facility		$24.55	$31.38	$58.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.07 / $45.47	Professional		$24.55	$37.07	$45.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $73.56 / $144.24	Facility		$72.12	$73.56	$144.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $42.24 / $114.36	Professional		$42.24	$42.24	$114.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $60.09 / $60.09	Facility		$55.88	$60.09	$60.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $60.09 / $60.09	Professional		$60.09	$60.09	$60.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $46.45	Professional		$33.90	$33.90	$46.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $162.27 / $332.00	Facility		$72.12	$162.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $54.09 / $129.82	Professional		$40.40	$54.09	$129.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $46.07 / $60.09	Professional		$43.37	$46.07	$60.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $555.00	Facility		$46.45	$46.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $42.97 / $111.79	Professional		$33.90	$42.97	$111.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.97 / $65.97	Professional		$23.99	$38.97	$65.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $43.37 / $45.06	Facility		$43.37	$43.37	$45.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $43.37 / $50.50	Professional		$43.37	$43.37	$50.50