Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $38.29 / $70.88	Facility		$29.96	$38.29	$70.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $48.28 / $57.02	Professional		$29.96	$48.28	$57.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $89.75 / $175.98	Facility		$87.99	$89.75	$175.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $142.31	Professional		$53.40	$53.40	$142.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $73.31 / $73.31	Facility		$68.18	$73.31	$73.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $65.90	Professional		$48.11	$48.11	$65.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $197.98 / $332.00	Facility		$87.99	$197.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $65.98 / $158.38	Professional		$45.44	$65.98	$158.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $52.90 / $63.10	Professional		$30.30	$52.90	$63.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $555.00	Facility		$65.90	$65.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.11 / $131.11	Professional		$40.82	$48.11	$131.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $47.55 / $80.48	Professional		$29.26	$47.55	$80.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $52.90 / $54.97	Facility		$52.90	$52.90	$54.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $52.90 / $56.21	Professional		$30.30	$52.90	$56.21