Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $42.94 / $79.48	Facility		$33.59	$42.94	$79.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $42.94 / $54.24	Professional		$33.59	$42.94	$54.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $56.78 / $111.34	Facility		$55.67	$56.78	$111.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $54.36 / $144.86	Professional		$54.36	$54.36	$144.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $71.90 / $71.90	Facility		$66.87	$71.90	$71.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $71.90 / $71.90	Professional		$71.90	$71.90	$71.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $72.00	Professional		$42.10	$42.10	$72.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $125.26 / $332.00	Facility		$55.67	$125.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $50.95 / $100.21	Professional		$34.52	$50.95	$100.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $60.62 / $66.58	Professional		$57.05	$60.62	$66.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $57.67 / $555.00	Facility		$55.67	$57.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $55.67 / $117.11	Professional		$42.10	$55.67	$117.11
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $49.22 / $82.94	Professional		$32.82	$49.22	$82.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.86	Facility		$57.05	$57.05	$57.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $66.58	Professional		$57.05	$57.05	$66.58