Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $32.90 / $60.91	Facility		$25.74	$32.90	$60.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $36.46 / $47.67	Professional		$25.74	$36.46	$47.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $77.12 / $151.22	Facility		$75.61	$77.12	$151.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $45.98 / $122.53	Professional		$45.98	$45.98	$122.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.99 / $62.99	Facility		$58.58	$62.99	$62.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $62.99 / $62.99	Professional		$62.99	$62.99	$62.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $79.79	Professional		$47.60	$47.60	$79.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $170.12 / $332.00	Facility		$75.61	$170.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $56.71 / $136.10	Professional		$39.04	$56.71	$136.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $45.45 / $54.22	Professional		$30.30	$45.45	$54.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $555.00	Facility		$65.20	$65.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $47.60 / $117.00	Professional		$45.05	$47.60	$117.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $40.86 / $69.16	Professional		$25.15	$40.86	$69.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $47.27	Facility		$45.45	$45.45	$47.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $45.45 / $48.29	Professional		$30.30	$45.45	$48.29