Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $26.05 / $48.21	Facility		$20.38	$26.05	$48.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $26.15 / $37.72	Professional		$20.38	$26.15	$37.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $61.04 / $119.68	Facility		$59.84	$61.04	$119.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $92.25	Professional		$32.36	$32.36	$92.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $49.86 / $49.86	Facility		$46.37	$49.86	$49.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $49.86	Professional		$49.86	$49.86	$49.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $36.72	Professional		$26.81	$26.81	$36.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $134.63 / $332.00	Facility		$59.84	$134.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $44.28 / $107.71	Professional		$30.91	$44.28	$107.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $34.96 / $42.92	Professional		$20.20	$34.96	$42.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $555.00	Facility		$36.72	$36.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $88.59	Professional		$26.81	$36.72	$88.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $30.75 / $54.74	Professional		$19.89	$30.75	$54.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $34.96 / $34.96	Facility		$31.99	$34.96	$34.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $34.96 / $37.14	Professional		$20.20	$34.96	$37.14