Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $27.13 / $50.22	Facility		$21.23	$27.13	$50.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $30.00 / $39.29	Professional		$21.23	$30.00	$39.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $63.59 / $124.68	Facility		$62.34	$63.59	$124.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $98.87	Professional		$36.97	$36.97	$98.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $51.94 / $51.94	Facility		$48.30	$51.94	$51.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $51.94 / $51.94	Professional		$51.94	$51.94	$51.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $40.77	Professional		$29.76	$29.76	$40.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $140.27 / $332.00	Facility		$62.34	$140.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $46.76 / $112.21	Professional		$32.19	$46.76	$112.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $37.49 / $44.71	Professional		$10.10	$37.49	$44.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $555.00	Facility		$40.77	$40.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $37.14 / $96.63	Professional		$29.76	$37.14	$96.63
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $33.70 / $57.16	Professional		$20.74	$33.70	$57.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $37.49 / $38.95	Facility		$37.49	$37.49	$38.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $37.49 / $39.83	Professional		$10.10	$37.49	$39.83