Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $55.40 / $102.54	Facility		$43.33	$55.40	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $59.58 / $80.25	Professional		$43.33	$59.58	$80.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $129.84 / $254.58	Facility		$127.29	$129.84	$254.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $203.73	Professional		$76.45	$76.45	$203.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $106.06 / $106.06	Facility		$98.64	$106.06	$106.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $106.06 / $106.06	Professional		$106.06	$106.06	$106.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $104.21	Professional		$76.06	$76.06	$104.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $286.39 / $332.00	Facility		$127.29	$286.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $95.47 / $229.12	Professional		$65.73	$95.47	$229.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $76.53 / $91.28	Professional		$45.45	$76.53	$91.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $555.00	Facility		$104.21	$104.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $76.06 / $214.69	Professional		$75.84	$76.06	$214.69
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $73.40 / $114.56	Professional		$42.34	$73.40	$114.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $76.53 / $79.53	Facility		$76.53	$76.53	$79.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $76.53 / $81.31	Professional		$45.45	$76.53	$81.31