Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $52.70 / $97.54	Facility		$41.22	$52.70	$97.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $52.70 / $76.33	Professional		$41.22	$52.70	$76.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $123.50 / $242.16	Facility		$121.08	$123.50	$242.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $61.97 / $186.63	Professional		$61.97	$61.97	$186.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $100.88 / $100.88	Facility		$93.82	$100.88	$100.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $100.88 / $100.88	Professional		$100.88	$100.88	$100.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $272.43 / $332.00	Facility		$121.08	$272.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $87.59 / $217.94	Professional		$62.52	$87.59	$217.94
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 / $72.81 / $86.83	Professional		$53.03	$72.81	$86.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $555.00	Facility		$66.72	$66.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $147.66	Professional		$48.71	$66.72	$147.66
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $60.41 / $110.75	Professional		$40.27	$60.41	$110.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $75.65	Facility		$72.81	$72.81	$75.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $72.81 / $77.34	Professional		$53.03	$72.81	$77.34