Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $39.95 / $73.94	Facility		$31.25	$39.95	$73.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $39.95 / $57.87	Professional		$31.25	$39.95	$57.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $93.62 / $183.56	Facility		$91.78	$93.62	$183.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $46.18 / $140.13	Professional		$46.18	$46.18	$140.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $76.47 / $76.47	Facility		$71.12	$76.47	$76.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Professional		$76.47	$76.47	$76.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $54.11	Professional		$39.50	$39.50	$54.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $206.51 / $332.00	Facility		$91.78	$206.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $68.84 / $165.20	Professional		$48.48	$68.84	$165.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $58.64 / $72.72	Professional		$55.19	$58.64	$72.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $555.00	Facility		$54.11	$54.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $110.63	Professional		$39.50	$54.11	$110.63
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $45.79 / $83.95	Professional		$30.53	$45.79	$83.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $55.19 / $57.35	Facility		$55.19	$55.19	$57.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $55.19 / $60.60	Professional		$55.19	$55.19	$60.60