Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $43.62 / $80.75	Facility		$34.11	$43.62	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.80 / $63.20	Professional		$34.11	$43.80	$63.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $102.26 / $200.50	Facility		$100.25	$102.26	$200.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $55.89 / $155.35	Professional		$55.89	$55.89	$155.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $83.52 / $83.52	Facility		$77.67	$83.52	$83.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Professional		$83.52	$83.52	$83.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $69.65	Professional		$50.84	$50.84	$69.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $225.56 / $332.00	Facility		$100.25	$225.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $74.19 / $180.45	Professional		$51.76	$74.19	$180.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Facility		$12.12	$12.12	$12.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $58.53 / $71.88	Professional		$12.12	$58.53	$71.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $555.00	Facility		$69.65	$69.65	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $61.96 / $148.59	Professional		$50.84	$61.96	$148.59
United Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $53.40 / $91.69	Professional		$33.34	$53.40	$91.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $58.53 / $58.53	Facility		$53.57	$58.53	$58.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $58.53 / $62.19	Professional		$12.12	$58.53	$62.19