Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $52.29 / $96.80	Facility		$40.90	$52.29	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $62.36 / $77.87	Professional		$40.90	$62.36	$77.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.17 / $122.57 / $240.34	Facility		$120.17	$122.57	$240.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $72.28 / $192.62	Professional		$72.28	$72.28	$192.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $100.12 / $100.12	Facility		$93.11	$100.12	$100.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $100.12 / $100.12	Professional		$100.12	$100.12	$100.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.17 / $270.38 / $332.00	Facility		$120.17	$270.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $90.13 / $216.31	Professional		$62.05	$90.13	$216.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $75.75 / $90.90	Professional		$72.25	$75.75	$90.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $555.00	Facility		$75.09	$75.09	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $71.59 / $175.78	Professional		$54.82	$71.59	$175.78
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $66.76 / $110.17	Professional		$39.97	$66.76	$110.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $75.08	Facility		$72.25	$72.25	$75.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $76.77	Professional		$72.25	$72.25	$76.77