Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $31.89 / $59.03	Facility		$24.95	$31.89	$59.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $32.02 / $46.20	Professional		$24.95	$32.02	$46.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $74.73 / $146.54	Facility		$73.27	$74.73	$146.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $39.27 / $112.95	Professional		$39.27	$39.27	$112.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $61.05 / $61.05	Facility		$56.78	$61.05	$61.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $61.05 / $61.05	Professional		$61.05	$61.05	$61.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $41.91	Professional		$30.59	$30.59	$41.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $164.86 / $332.00	Facility		$73.27	$164.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $54.22 / $131.88	Professional		$37.84	$54.22	$131.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $42.80 / $52.55	Professional		$22.22	$42.80	$52.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $555.00	Facility		$41.91	$41.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $113.57	Professional		$30.59	$41.91	$113.57
United Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $89.43 / $89.43	Facility		$89.43	$89.43	$89.43
United Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $37.99 / $65.94	Professional		$24.37	$37.99	$65.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $42.80 / $42.80	Facility		$39.17	$42.80	$42.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $42.80 / $45.47	Professional		$22.22	$42.80	$45.47