Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $47.42 / $87.78	Facility		$37.10	$47.42	$87.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $47.42 / $62.39	Professional		$35.38	$47.42	$62.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $66.67 / $130.72	Facility		$65.36	$66.67	$130.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $166.52	Professional		$63.26	$63.26	$166.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $81.56 / $81.56	Facility		$75.84	$81.56	$81.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Professional		$81.56	$81.56	$81.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $77.70	Professional		$49.06	$49.06	$77.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $147.06 / $332.00	Facility		$65.36	$147.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $56.27 / $117.65	Professional		$40.52	$56.27	$117.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $73.55 / $73.55	Facility		$73.55	$73.55	$73.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $66.95 / $73.55	Professional		$63.02	$66.95	$73.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $67.20 / $555.00	Facility		$65.36	$67.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $105.94	Professional		$49.06	$67.20	$105.94
United Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $124.56 / $124.56	Facility		$124.56	$124.56	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $55.04 / $93.92	Professional		$36.24	$55.04	$93.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $63.02 / $63.02	Facility		$61.90	$63.02	$63.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $63.02 / $73.55	Professional		$63.02	$63.02	$73.55