Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $42.38 / $78.44	Facility		$33.15	$42.38	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $47.32 / $61.39	Professional		$33.15	$47.32	$61.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $99.33 / $194.76	Facility		$97.38	$99.33	$194.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.66 / $158.99	Professional		$59.66	$59.66	$158.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $81.13 / $81.13	Facility		$75.45	$81.13	$81.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $81.13 / $81.13	Professional		$81.13	$81.13	$81.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $83.99	Professional		$61.31	$61.31	$83.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $219.11 / $332.00	Facility		$97.38	$219.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $72.06 / $175.28	Professional		$50.28	$72.06	$175.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $23.23 / $23.23	Facility		$23.23	$23.23	$23.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $58.54 / $69.83	Professional		$23.23	$58.54	$69.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $555.00	Facility		$83.99	$83.99	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $61.31 / $150.38	Professional		$58.01	$61.31	$150.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $52.63 / $89.07	Professional		$32.39	$52.63	$89.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $58.54 / $60.84	Facility		$58.54	$58.54	$60.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $58.54 / $62.20	Professional		$23.23	$58.54	$62.20