Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $44.94 / $83.18	Facility		$35.15	$44.94	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $59.97 / $66.89	Professional		$35.15	$59.97	$66.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $105.33 / $206.52	Facility		$103.26	$105.33	$206.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $60.47 / $163.74	Professional		$60.47	$60.47	$163.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $86.03 / $86.03	Facility		$80.01	$86.03	$86.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $86.03 / $86.03	Professional		$86.03	$86.03	$86.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $64.52	Professional		$47.10	$47.10	$64.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $232.34 / $332.00	Facility		$103.26	$232.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $77.45 / $185.87	Professional		$53.32	$77.45	$185.87
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 / $62.08 / $74.04	Professional		$35.35	$62.08	$74.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $555.00	Facility		$64.52	$64.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $61.52 / $159.75	Professional		$47.10	$61.52	$159.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $55.81 / $94.45	Professional		$34.34	$55.81	$94.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $62.08 / $64.51	Facility		$62.08	$62.08	$64.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $62.08 / $65.95	Professional		$35.35	$62.08	$65.95