Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $50.68 / $93.82	Facility		$39.65	$50.68	$93.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $57.19 / $73.84	Professional		$39.65	$57.19	$73.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $118.79 / $232.92	Facility		$116.46	$118.79	$232.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $184.97	Professional		$69.41	$69.41	$184.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $97.03 / $97.03	Facility		$90.24	$97.03	$97.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $97.03 / $97.03	Professional		$97.03	$97.03	$97.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Facility		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $84.33	Professional		$61.56	$61.56	$84.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $262.04 / $332.00	Facility		$116.46	$262.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $87.35 / $209.63	Professional		$60.14	$87.35	$209.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $53.03 / $53.03	Facility		$53.03	$53.03	$53.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $70.01 / $83.52	Professional		$53.03	$70.01	$83.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $555.00	Facility		$84.33	$84.33	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $69.38 / $173.44	Professional		$61.56	$69.38	$173.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $61.45 / $106.52	Professional		$38.74	$61.45	$106.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.01 / $70.01 / $72.75	Facility		$70.01	$70.01	$72.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $70.01 / $74.39	Professional		$53.03	$70.01	$74.39