Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $35.42 / $65.56	Facility		$27.71	$35.42	$65.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $41.53 / $51.31	Professional		$27.71	$41.53	$51.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $83.02 / $162.78	Facility		$81.39	$83.02	$162.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $49.30 / $131.38	Professional		$49.30	$49.30	$131.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $67.81 / $67.81	Facility		$63.06	$67.81	$67.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Professional		$67.81	$67.81	$67.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $61.62	Professional		$44.98	$44.98	$61.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $183.13 / $332.00	Facility		$81.39	$183.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $61.04 / $146.50	Professional		$42.03	$61.04	$146.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $48.93 / $58.37	Professional		$35.35	$48.93	$58.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $555.00	Facility		$61.62	$61.62	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $48.49 / $121.27	Professional		$44.98	$48.49	$121.27
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $46.22 / $74.45	Professional		$27.07	$46.22	$74.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $48.93 / $50.85	Facility		$48.93	$48.93	$50.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $48.93 / $51.99	Professional		$35.35	$48.93	$51.99