Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $37.74 / $90.79	Facility		$29.53	$37.74	$90.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $41.46 / $54.67	Professional		$29.53	$41.46	$54.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $88.45 / $173.44	Facility		$86.72	$88.45	$173.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $46.49 / $133.66	Professional		$46.49	$46.49	$133.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $72.25 / $72.25	Facility		$67.19	$72.25	$72.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $56.02	Professional		$40.89	$40.89	$56.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $195.12 / $332.00	Facility		$86.72	$195.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $64.17 / $156.10	Professional		$44.79	$64.17	$156.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $52.62	Facility		$52.62	$52.62	$52.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $52.62 / $63.14	Professional		$50.66	$52.62	$63.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $555.00	Facility		$56.02	$56.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $53.15 / $134.41	Professional		$40.89	$53.15	$134.41
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.06 / $78.08	Professional		$28.84	$46.06	$78.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $50.66 / $50.66	Facility		$46.38	$50.66	$50.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $53.84	Professional		$50.66	$50.66	$53.84