Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $45.50 / $84.22	Facility		$35.59	$45.50	$84.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $50.81 / $69.06	Professional		$35.59	$50.81	$69.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $106.64 / $209.10	Facility		$104.55	$106.64	$209.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $61.22 / $165.78	Professional		$61.22	$61.22	$165.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $87.11 / $87.11	Facility		$81.01	$87.11	$87.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $87.11 / $87.11	Professional		$87.11	$87.11	$87.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $235.24 / $332.00	Facility		$104.55	$235.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $77.37 / $188.19	Professional		$53.99	$77.37	$188.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $60.46 / $74.97	Professional		$45.45	$60.46	$74.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $555.00	Facility		$66.37	$66.37	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $62.29 / $155.78	Professional		$48.45	$62.29	$155.78
United Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $54.74 / $95.62	Professional		$34.77	$54.74	$95.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $65.31	Facility		$60.46	$60.46	$65.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $60.46 / $64.25	Professional		$45.45	$60.46	$64.25