Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $36.64 / $88.15	Facility		$28.66	$36.64	$88.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $36.64 / $53.09	Professional		$28.66	$36.64	$53.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $85.87 / $168.38	Facility		$84.19	$85.87	$168.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $126.69	Professional		$41.54	$41.54	$126.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $70.15 / $70.15	Facility		$65.23	$70.15	$70.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $70.15 / $70.15	Professional		$70.15	$70.15	$70.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $42.77	Professional		$31.22	$31.22	$42.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $189.43 / $332.00	Facility		$84.19	$189.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $63.14 / $151.54	Professional		$49.67	$63.14	$151.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $63.84 / $63.84	Facility		$63.84	$63.84	$63.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $53.78 / $70.15	Professional		$50.62	$53.78	$70.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $555.00	Facility		$42.77	$42.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $39.06 / $100.18	Professional		$31.22	$39.06	$100.18
United Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $33.85 / $38.72	Facility		$25.72	$33.85	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $42.01 / $75.30	Professional		$28.00	$42.01	$75.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $50.62 / $52.60	Facility		$50.62	$50.62	$52.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $50.62 / $63.84	Professional		$50.62	$50.62	$63.84