Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $57.41 / $106.28	Facility		$44.91	$57.41	$106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $68.00 / $83.18	Professional		$44.91	$68.00	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $134.58 / $263.88	Facility		$131.94	$134.58	$263.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $210.64	Professional		$79.04	$79.04	$210.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $109.92 / $109.92	Facility		$102.23	$109.92	$109.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $109.92 / $109.92	Professional		$109.92	$109.92	$109.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $103.32	Professional		$75.42	$75.42	$103.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $294.00 / $332.00	Facility		$131.94	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $98.96 / $237.49	Professional		$68.13	$98.96	$237.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $79.31 / $94.61	Professional		$50.50	$79.31	$94.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $555.00	Facility		$103.32	$103.32	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $78.61 / $196.59	Professional		$75.42	$78.61	$196.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $69.23 / $120.67	Professional		$43.88	$69.23	$120.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $82.43	Facility		$79.31	$79.31	$82.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $79.31 / $84.28	Professional		$50.50	$79.31	$84.28