Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $32.10 / $67.92	Facility		$25.11	$32.10	$67.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $33.65 / $46.50	Professional		$25.11	$33.65	$46.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $75.25 / $147.54	Facility		$73.77	$75.25	$147.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.28 / $113.68	Professional		$40.28	$40.28	$113.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $61.46 / $61.46	Facility		$57.16	$61.46	$61.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $61.46 / $61.46	Professional		$61.46	$61.46	$61.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $36.72	Professional		$26.81	$26.81	$36.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $165.98 / $332.00	Facility		$73.77	$165.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $55.33 / $132.79	Professional		$38.08	$55.33	$132.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Facility		$21.21	$21.21	$21.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $42.65 / $52.89	Professional		$21.21	$42.65	$52.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $555.00	Facility		$36.72	$36.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $34.21 / $109.92	Professional		$26.81	$34.21	$109.92
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $37.35 / $67.44	Professional		$24.54	$37.35	$67.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $42.65 / $46.08	Facility		$42.65	$42.65	$46.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $42.65 / $45.32	Professional		$21.21	$42.65	$45.32