Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $29.94 / $55.42	Facility		$23.42	$29.94	$55.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $31.32 / $43.37	Professional		$23.42	$31.32	$43.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $70.16 / $137.56	Facility		$68.78	$70.16	$137.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $38.36 / $106.64	Professional		$38.36	$38.36	$106.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $57.31 / $57.31	Facility		$53.30	$57.31	$57.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $57.31	Professional		$57.31	$57.31	$57.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $39.35	Professional		$28.73	$28.73	$39.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $154.76 / $332.00	Facility		$68.78	$154.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $50.90 / $123.80	Professional		$35.53	$50.90	$123.80
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 / $40.19 / $49.34	Professional		$4.55	$40.19	$49.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $555.00	Facility		$39.35	$39.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.35 / $102.19	Professional		$28.73	$39.35	$102.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $35.35 / $62.92	Professional		$22.88	$35.35	$62.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $40.19 / $40.19	Facility		$36.78	$40.19	$40.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $40.19 / $42.70	Professional		$4.55	$40.19	$42.70