Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $40.82 / $75.56	Facility		$31.93	$40.82	$75.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $41.26 / $59.14	Professional		$31.93	$41.26	$59.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $95.68 / $187.60	Facility		$93.80	$95.68	$187.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $56.34 / $150.13	Professional		$56.34	$56.34	$150.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $78.15 / $78.15	Facility		$72.68	$78.15	$78.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Professional		$78.15	$78.15	$78.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $71.68	Professional		$52.33	$52.33	$71.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $211.05 / $332.00	Facility		$93.80	$211.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $69.41 / $168.84	Professional		$48.44	$69.41	$168.84
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 / $56.39 / $67.27	Professional		$30.30	$56.39	$67.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $555.00	Facility		$71.68	$71.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $55.88 / $141.65	Professional		$52.33	$55.88	$141.65
United Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $125.07 / $125.07	Facility		$125.07	$125.07	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $50.40 / $85.99	Professional		$31.20	$50.40	$85.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $56.39 / $58.60	Facility		$56.39	$56.39	$58.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $56.39 / $59.91	Professional		$30.30	$56.39	$59.91