Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $45.44 / $84.11	Facility		$35.54	$45.44	$84.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $51.84 / $65.81	Professional		$35.54	$51.84	$65.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $106.49 / $208.80	Facility		$104.40	$106.49	$208.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $58.90 / $163.15	Professional		$58.90	$58.90	$163.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $86.98 / $86.98	Facility		$80.89	$86.98	$86.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Facility		$73.27	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $73.27	Professional		$53.49	$53.49	$73.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $234.90 / $332.00	Facility		$104.40	$234.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $78.30 / $187.92	Professional		$53.91	$78.30	$187.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Facility		$55.55	$55.55	$55.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $62.77 / $74.87	Professional		$55.55	$62.77	$74.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $555.00	Facility		$73.27	$73.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $62.20 / $152.34	Professional		$53.49	$62.20	$152.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $54.87 / $95.49	Professional		$34.72	$54.87	$95.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $62.77 / $65.23	Facility		$62.77	$62.77	$65.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $62.77 / $66.69	Professional		$55.55	$62.77	$66.69