Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $37.61 / $69.63	Facility		$29.43	$37.61	$69.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $37.77 / $54.50	Professional		$29.43	$37.77	$54.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $88.17 / $172.88	Facility		$86.44	$88.17	$172.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $51.98 / $138.52	Professional		$51.98	$51.98	$138.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $72.02 / $72.02	Facility		$66.98	$72.02	$72.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.02 / $72.02	Professional		$72.02	$72.02	$72.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $54.02	Professional		$39.43	$39.43	$54.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $194.49 / $332.00	Facility		$86.44	$194.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $63.97 / $155.59	Professional		$46.67	$63.97	$155.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $58.34 / $58.34	Facility		$58.34	$58.34	$58.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $55.22 / $70.01	Professional		$51.98	$55.22	$70.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $555.00	Facility		$54.02	$54.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $40.14 / $148.07	Professional		$39.43	$40.14	$148.07
United Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $115.26	Facility		$115.26	$115.26	$115.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $46.72 / $79.06	Professional		$28.75	$46.72	$79.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $51.98 / $54.01	Facility		$51.98	$51.98	$54.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $51.98 / $58.34	Professional		$51.98	$51.98	$58.34