Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $54.47 / $115.64	Facility		$38.49	$54.47	$115.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $49.41 / $71.31	Professional		$38.49	$49.41	$71.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $115.37 / $226.22	Facility		$113.11	$115.37	$226.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $175.26	Professional		$62.92	$62.92	$175.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $94.23 / $94.23	Facility		$87.63	$94.23	$94.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $94.23 / $94.23	Professional		$94.23	$94.23	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $92.03	Professional		$47.20	$64.66	$92.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $254.50 / $332.00	Facility		$113.11	$254.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $83.70 / $203.60	Professional		$60.78	$83.70	$203.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $72.22 / $91.18	Professional		$67.98	$72.22	$91.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $555.00	Facility		$64.66	$64.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $134.22	Professional		$47.20	$64.66	$134.22
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $60.23 / $103.48	Professional		$37.61	$60.23	$103.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $75.54	Facility		$67.98	$67.98	$75.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $75.98	Professional		$67.98	$67.98	$75.98