Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $32.59 / $60.32	Facility		$25.49	$32.59	$60.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $34.69 / $47.21	Professional		$25.49	$34.69	$47.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $76.37 / $149.74	Facility		$74.87	$76.37	$149.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $41.79 / $116.06	Professional		$41.79	$41.79	$116.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $62.39 / $62.39	Facility		$58.02	$62.39	$62.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $62.39 / $62.39	Professional		$62.39	$62.39	$62.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $43.58	Professional		$31.81	$31.81	$43.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $168.46 / $332.00	Facility		$74.87	$168.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $56.15 / $134.77	Professional		$38.67	$56.15	$134.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $45.02 / $53.69	Professional		$40.40	$45.02	$53.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $555.00	Facility		$43.58	$43.58	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $43.58 / $105.47	Professional		$31.81	$43.58	$105.47
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $39.54 / $68.50	Professional		$24.91	$39.54	$68.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $45.02 / $46.79	Facility		$45.02	$45.02	$46.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $45.02 / $47.84	Professional		$40.40	$45.02	$47.84