Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $41.66 / $77.11	Facility		$32.59	$41.66	$77.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $41.82 / $60.35	Professional		$32.59	$41.82	$60.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $97.63 / $191.44	Facility		$95.72	$97.63	$191.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $52.55 / $147.54	Professional		$52.55	$52.55	$147.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $79.75 / $79.75	Facility		$74.17	$79.75	$79.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $79.75 / $79.75	Professional		$79.75	$79.75	$79.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $48.60 / $66.58	Professional		$48.60	$48.60	$66.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $215.37 / $332.00	Facility		$95.72	$215.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $71.79 / $172.30	Professional		$56.47	$71.79	$172.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $72.59 / $72.59	Facility		$72.59	$72.59	$72.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $59.39 / $79.75	Professional		$55.91	$59.39	$79.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $555.00	Facility		$66.58	$66.58	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $142.03	Professional		$48.60	$66.58	$142.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $50.52 / $87.55	Professional		$31.84	$50.52	$87.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $55.91 / $55.91	Facility		$51.17	$55.91	$55.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $55.91 / $72.59	Professional		$55.91	$55.91	$72.59