Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $31.19 / $57.73	Facility		$24.40	$31.19	$57.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $32.63 / $45.18	Professional		$24.40	$32.63	$45.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $73.09 / $143.34	Facility		$71.67	$73.09	$143.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $114.86	Professional		$43.10	$43.10	$114.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $59.71 / $59.71	Facility		$55.53	$59.71	$59.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $59.71 / $59.71	Professional		$59.71	$59.71	$59.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $52.95	Professional		$38.65	$38.65	$52.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $161.26 / $332.00	Facility		$71.67	$161.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $53.04 / $129.01	Professional		$37.00	$53.04	$129.01
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 / $43.08 / $51.39	Professional		$40.40	$43.08	$51.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $555.00	Facility		$52.95	$52.95	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $42.70 / $109.50	Professional		$38.65	$42.70	$109.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $38.72 / $65.55	Professional		$23.84	$38.72	$65.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $43.08 / $44.77	Facility		$43.08	$43.08	$44.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $43.08 / $45.78	Professional		$40.40	$43.08	$45.78