Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $43.62 / $80.75	Facility		$34.11	$43.62	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.80 / $63.20	Professional		$34.11	$43.80	$63.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $102.26 / $200.50	Facility		$100.25	$102.26	$200.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $53.72 / $154.51	Professional		$53.72	$53.72	$154.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $83.52 / $83.52	Facility		$77.67	$83.52	$83.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Professional		$83.52	$83.52	$83.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $57.32	Professional		$41.84	$41.84	$57.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $225.56 / $332.00	Facility		$100.25	$225.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $74.19 / $180.45	Professional		$51.76	$74.19	$180.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Facility		$47.53	$47.53	$47.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $58.53 / $71.88	Professional		$47.53	$58.53	$71.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $555.00	Facility		$57.32	$57.32	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $57.32 / $155.38	Professional		$41.84	$57.32	$155.38
United Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $122.32 / $122.32	Facility		$122.32	$122.32	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $52.89 / $91.90	Professional		$33.34	$52.89	$91.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $58.53 / $58.53	Facility		$53.57	$58.53	$58.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $58.53 / $62.19	Professional		$47.53	$58.53	$62.19