Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $39.06 / $72.30	Facility		$30.55	$39.06	$72.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $39.22 / $56.58	Professional		$30.55	$39.22	$56.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $91.55 / $179.50	Facility		$89.75	$91.55	$179.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $48.09 / $138.33	Professional		$48.09	$48.09	$138.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $74.78 / $74.78	Facility		$69.55	$74.78	$74.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $74.78	Professional		$74.78	$74.78	$74.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $57.03	Professional		$41.63	$41.63	$57.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $201.94 / $332.00	Facility		$89.75	$201.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $66.42 / $161.55	Professional		$46.35	$66.42	$161.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $52.42 / $64.36	Professional		$4.55	$52.42	$64.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $555.00	Facility		$57.03	$57.03	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $55.47 / $133.13	Professional		$41.63	$55.47	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $47.36 / $89.75	Professional		$29.85	$47.36	$89.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $52.42 / $52.42	Facility		$47.98	$52.42	$52.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $52.42 / $55.69	Professional		$4.55	$52.42	$55.69