Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $38.25 / $70.80	Facility		$29.92	$38.25	$70.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $42.72 / $57.60	Professional		$29.92	$42.72	$57.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $89.65 / $175.78	Facility		$87.89	$89.65	$175.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $140.12	Professional		$52.58	$52.58	$140.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $73.22 / $73.22	Facility		$68.09	$73.22	$73.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $73.22 / $73.22	Professional		$73.22	$73.22	$73.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $66.78	Professional		$48.75	$48.75	$66.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $197.75 / $332.00	Facility		$87.89	$197.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $65.04 / $158.19	Professional		$45.38	$65.04	$158.19
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 / $52.84 / $63.03	Professional		$30.30	$52.84	$63.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $555.00	Facility		$66.78	$66.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $52.36 / $130.96	Professional		$48.75	$52.36	$130.96
United Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Facility		$117.18	$117.18	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $47.50 / $80.39	Professional		$29.23	$47.50	$80.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $52.84 / $54.91	Facility		$52.84	$52.84	$54.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $52.84 / $56.14	Professional		$30.30	$52.84	$56.14