Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $49.32 / $91.29	Facility		$38.58	$49.32	$91.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $49.32 / $71.45	Professional		$38.58	$49.32	$71.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $115.60 / $226.66	Facility		$113.33	$115.60	$226.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $62.90 / $175.64	Professional		$62.90	$62.90	$175.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $94.42 / $94.42	Facility		$87.81	$94.42	$94.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $94.42 / $94.42	Professional		$94.42	$94.42	$94.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $75.47	Professional		$55.09	$55.09	$75.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $254.99 / $332.00	Facility		$113.33	$254.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $81.59 / $203.99	Professional		$58.52	$81.59	$203.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $72.23 / $72.23	Facility		$72.23	$72.23	$72.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $72.23 / $86.68	Professional		$68.13	$72.23	$86.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $555.00	Facility		$75.47	$75.47	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $67.52 / $168.86	Professional		$55.09	$67.52	$168.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $60.10 / $103.65	Professional		$37.69	$60.10	$103.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $70.80	Facility		$68.13	$68.13	$70.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $68.13 / $72.39	Professional		$68.13	$68.13	$72.39