Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $25.37 / $46.95	Facility		$19.85	$25.37	$46.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $25.47 / $36.75	Professional		$19.85	$25.47	$36.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $59.46 / $116.58	Facility		$58.29	$59.46	$116.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $31.25 / $89.83	Professional		$31.25	$31.25	$89.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $48.56 / $48.56	Facility		$45.16	$48.56	$48.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $33.35	Professional		$24.35	$24.35	$33.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $131.15 / $332.00	Facility		$58.29	$131.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $43.13 / $104.92	Professional		$30.10	$43.13	$104.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Facility		$35.36	$35.36	$35.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.36 / $42.44	Professional		$34.04	$35.36	$42.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $555.00	Facility		$33.35	$33.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $90.35	Professional		$24.35	$33.35	$90.35
United Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $71.17 / $71.17	Facility		$71.17	$71.17	$71.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.26 / $53.38	Professional		$19.38	$30.26	$53.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $34.04 / $34.04	Facility		$31.16	$34.04	$34.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $36.17	Professional		$34.04	$34.04	$36.17