Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $41.00 / $75.90	Facility		$32.07	$41.00	$75.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $50.65 / $59.41	Professional		$32.07	$50.65	$59.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $96.11 / $188.46	Facility		$94.23	$96.11	$188.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $57.29 / $152.66	Professional		$57.29	$57.29	$152.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $78.50 / $78.50	Facility		$73.01	$78.50	$78.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $78.50 / $78.50	Professional		$78.50	$78.50	$78.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $81.37	Professional		$59.40	$59.40	$81.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $212.02 / $332.00	Facility		$94.23	$212.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $70.67 / $169.61	Professional		$53.34	$70.67	$169.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $66.67 / $66.67	Facility		$66.67	$66.67	$66.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $60.19 / $78.50	Professional		$56.64	$60.19	$78.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $555.00	Facility		$81.37	$81.37	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $59.40 / $140.40	Professional		$56.13	$59.40	$140.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $50.93 / $86.19	Professional		$31.34	$50.93	$86.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $56.64 / $58.86	Facility		$56.64	$56.64	$58.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $56.64 / $66.67	Professional		$56.64	$56.64	$66.67