Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.34 / $50.60	Facility		$21.38	$27.34	$50.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.45 / $39.60	Professional		$21.38	$27.45	$39.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $64.06 / $125.62	Facility		$62.81	$64.06	$125.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $35.02 / $97.34	Professional		$35.02	$35.02	$97.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $52.33 / $52.33	Facility		$48.67	$52.33	$52.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $52.33	Professional		$52.33	$52.33	$52.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $38.36	Professional		$28.00	$28.00	$38.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $141.32 / $332.00	Facility		$62.81	$141.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $46.48 / $113.06	Professional		$35.54	$46.48	$113.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $44.44	Facility		$44.44	$44.44	$44.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $38.97 / $52.33	Professional		$36.68	$38.97	$52.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $555.00	Facility		$38.36	$38.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $93.28	Professional		$28.00	$38.36	$93.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.47 / $57.50	Professional		$20.89	$33.47	$57.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $36.68 / $36.68	Facility		$33.58	$36.68	$36.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $36.68 / $44.44	Professional		$36.68	$36.68	$44.44