Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $44.12 / $81.66	Facility		$34.51	$44.12	$81.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $47.59 / $63.91	Professional		$34.51	$47.59	$63.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $103.41 / $202.76	Facility		$101.38	$103.41	$202.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $166.48	Professional		$62.47	$62.47	$166.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $84.46 / $84.46	Facility		$78.55	$84.46	$84.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $84.46 / $84.46	Professional		$84.46	$84.46	$84.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $87.42	Professional		$63.82	$63.82	$87.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $228.11 / $332.00	Facility		$101.38	$228.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $75.02 / $182.48	Professional		$52.34	$75.02	$182.48
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 / $60.94 / $72.69	Professional		$30.30	$60.94	$72.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $555.00	Facility		$87.42	$87.42	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $63.82 / $156.75	Professional		$60.40	$63.82	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $55.57 / $92.72	Professional		$33.72	$55.57	$92.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $60.94 / $63.33	Facility		$60.94	$60.94	$63.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $60.94 / $64.75	Professional		$30.30	$60.94	$64.75