Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $39.06 / $72.30	Facility		$30.55	$39.06	$72.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $39.22 / $56.58	Professional		$30.55	$39.22	$56.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $91.55 / $179.50	Facility		$89.75	$91.55	$179.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $48.09 / $138.33	Professional		$48.09	$48.09	$138.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $74.78 / $74.78	Facility		$69.55	$74.78	$74.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $74.78	Professional		$74.78	$74.78	$74.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $51.32	Professional		$37.46	$37.46	$51.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $201.94 / $332.00	Facility		$89.75	$201.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $66.42 / $161.55	Professional		$46.35	$66.42	$161.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Facility		$54.44	$54.44	$54.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $54.44 / $65.33	Professional		$52.42	$54.44	$65.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $555.00	Facility		$51.32	$51.32	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $133.13	Professional		$37.46	$51.32	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $47.68 / $80.81	Professional		$29.85	$47.68	$80.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $52.42 / $52.42	Facility		$47.98	$52.42	$52.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $52.42 / $55.69	Professional		$52.42	$52.42	$55.69