Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $33.19 / $61.44	Facility		$25.97	$33.19	$61.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $33.32 / $48.09	Professional		$25.97	$33.32	$48.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.28 / $77.81 / $152.56	Facility		$76.28	$77.81	$152.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $42.60 / $118.20	Professional		$42.60	$42.60	$118.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $63.55 / $63.55	Facility		$59.10	$63.55	$63.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $63.55 / $63.55	Professional		$63.55	$63.55	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $43.62	Professional		$31.84	$31.84	$43.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.28 / $171.63 / $332.00	Facility		$76.28	$171.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $56.45 / $137.30	Professional		$39.38	$56.45	$137.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Facility		$13.13	$13.13	$13.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $44.54 / $54.69	Professional		$13.13	$44.54	$54.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $555.00	Facility		$43.62	$43.62	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $113.44	Professional		$31.84	$43.62	$113.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $39.47 / $69.76	Professional		$25.37	$39.47	$69.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $44.54 / $44.54	Facility		$40.77	$44.54	$44.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $44.54 / $47.33	Professional		$13.13	$44.54	$47.33