Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $67.69 / $125.30	Facility		$52.95	$67.69	$125.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $67.95 / $98.06	Professional		$52.95	$67.95	$98.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.55 / $158.66 / $311.10	Facility		$155.55	$158.66	$311.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $241.06	Professional		$86.70	$86.70	$241.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $129.59 / $129.59	Facility		$120.52	$129.59	$129.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $129.59 / $129.59	Professional		$129.59	$129.59	$129.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $155.55 / $319.00 / $349.99	Facility		$155.55	$319.00	$349.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $115.19 / $279.99	Professional		$91.77	$115.19	$279.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Facility		$115.19	$115.19	$115.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $96.51 / $129.59	Professional		$90.84	$96.51	$129.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $555.00	Facility		$88.96	$88.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $205.21	Professional		$64.94	$88.96	$205.21
United Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $80.48 / $142.37	Professional		$51.73	$80.48	$142.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $90.84 / $90.84	Facility		$83.14	$90.84	$90.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $90.84 / $115.19	Professional		$90.84	$90.84	$115.19