Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $54.03 / $100.01	Facility		$42.26	$54.03	$100.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $54.24 / $78.28	Professional		$42.26	$54.24	$78.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $126.64 / $248.32	Facility		$124.16	$126.64	$248.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $66.53 / $191.35	Professional		$66.53	$66.53	$191.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $103.44 / $103.44	Facility		$96.20	$103.44	$103.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $103.44 / $103.44	Professional		$103.44	$103.44	$103.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $70.98	Professional		$51.82	$51.82	$70.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $279.36 / $332.00	Facility		$124.16	$279.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $91.88 / $223.49	Professional		$64.09	$91.88	$223.49
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 / $72.50 / $89.03	Professional		$4.55	$72.50	$89.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $555.00	Facility		$70.98	$70.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $184.22	Professional		$51.82	$70.98	$184.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $65.31 / $113.55	Professional		$41.29	$65.31	$113.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $72.50 / $72.50	Facility		$66.34	$72.50	$72.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $72.50 / $77.03	Professional		$4.55	$72.50	$77.03