Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $25.34 / $46.90	Facility		$19.82	$25.34	$46.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.34 / $36.71	Professional		$19.82	$25.34	$36.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.22 / $59.38 / $116.44	Facility		$58.22	$59.38	$116.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $29.46 / $88.91	Professional		$29.46	$29.46	$88.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $48.51 / $48.51	Facility		$45.11	$48.51	$48.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $48.51 / $48.51	Professional		$48.51	$48.51	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $31.92	Professional		$23.30	$23.30	$31.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.22 / $131.00 / $332.00	Facility		$58.22	$131.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $41.92 / $104.80	Professional		$30.07	$41.92	$104.80
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 / $35.01 / $41.75	Professional		$30.30	$35.01	$41.75
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $20.61 / $20.61	Professional		$20.61	$20.61	$20.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $555.00	Facility		$31.92	$31.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $30.93 / $75.47	Professional		$23.30	$30.93	$75.47
United Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $29.05 / $53.25	Professional		$19.36	$29.05	$53.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $35.01 / $36.39	Facility		$35.01	$35.01	$36.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $35.01 / $37.20	Professional		$30.30	$35.01	$37.20