Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $51.41 / $95.17	Facility		$40.22	$51.41	$95.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $51.62 / $74.48	Professional		$40.22	$51.62	$74.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $120.51 / $236.30	Facility		$118.15	$120.51	$236.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $182.11	Professional		$64.81	$64.81	$182.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $98.44 / $98.44	Facility		$91.55	$98.44	$98.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $98.44 / $98.44	Professional		$98.44	$98.44	$98.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $265.83 / $332.00	Facility		$118.15	$265.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $87.43 / $212.67	Professional		$61.01	$87.43	$212.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Facility		$71.66	$71.66	$71.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $71.66 / $85.99	Professional		$68.98	$71.66	$85.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $555.00	Facility		$81.30	$81.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $73.02 / $175.31	Professional		$59.35	$73.02	$175.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $58.94 / $108.06	Professional		$39.29	$58.94	$108.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $68.98 / $68.98	Facility		$63.15	$68.98	$68.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $68.98 / $73.31	Professional		$68.98	$68.98	$73.31