Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $55.90 / $103.48	Facility		$43.73	$55.90	$103.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $55.90 / $80.98	Professional		$43.73	$55.90	$80.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.46 / $131.03 / $256.92	Facility		$128.46	$131.03	$256.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $197.99	Professional		$70.61	$70.61	$197.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.53 / $107.02 / $107.02	Facility		$99.53	$107.02	$107.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $107.02 / $107.02	Professional		$107.02	$107.02	$107.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $75.81	Professional		$55.35	$55.35	$75.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.46 / $289.04 / $332.00	Facility		$128.46	$289.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $92.49 / $231.23	Professional		$66.33	$92.49	$231.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $77.23 / $92.12	Professional		$40.40	$77.23	$92.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $555.00	Facility		$75.81	$75.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $169.69	Professional		$55.35	$75.81	$169.69
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $64.09 / $115.94	Professional		$42.72	$64.09	$115.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $80.26	Facility		$77.23	$77.23	$80.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $77.23 / $82.06	Professional		$40.40	$77.23	$82.06