Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $31.76 / $58.78	Facility		$24.84	$31.76	$58.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $36.69 / $46.00	Professional		$24.84	$36.69	$46.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $74.43 / $145.94	Facility		$72.97	$74.43	$145.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $39.64 / $112.47	Professional		$39.64	$39.64	$112.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $60.79 / $60.79	Facility		$56.53	$60.79	$60.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $60.79 / $60.79	Professional		$60.79	$60.79	$60.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $55.83	Professional		$40.76	$40.76	$55.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $164.18 / $332.00	Facility		$72.97	$164.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $55.33 / $131.35	Professional		$43.05	$55.33	$131.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $55.33 / $55.33	Facility		$55.33	$55.33	$55.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $46.61 / $60.79	Professional		$43.87	$46.61	$60.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $555.00	Facility		$55.83	$55.83	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $43.46 / $118.13	Professional		$40.76	$43.46	$118.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $37.76 / $66.25	Professional		$24.27	$37.76	$66.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $43.87 / $45.58	Facility		$43.87	$43.87	$45.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $55.33	Professional		$43.87	$43.87	$55.33