Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $33.82 / $62.60	Facility		$26.46	$33.82	$62.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $33.82 / $49.00	Professional		$25.47	$33.82	$49.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $79.26 / $155.41	Facility		$77.70	$79.26	$155.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $113.52	Professional		$34.78	$34.78	$113.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.22 / $64.75 / $64.75	Facility		$60.22	$64.75	$64.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Professional		$64.75	$64.75	$64.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $38.57	Professional		$28.16	$28.16	$38.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $174.85 / $332.00	Facility		$77.70	$174.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $55.95 / $139.88	Professional		$40.40	$55.95	$139.88
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 $46.73 / $49.65 / $60.60	Professional		$46.73	$49.65	$60.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $555.00	Facility		$38.57	$38.57	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.57 / $120.45	Professional		$28.16	$38.57	$120.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $28.82 / $28.82	Facility		$0.05	$28.82	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $38.77 / $71.08	Professional		$25.85	$38.77	$71.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.73 / $46.73 / $48.56	Facility		$46.73	$46.73	$48.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $46.73 / $50.50	Professional		$46.73	$46.73	$50.50