Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $63.53 / $117.60	Facility		$49.70	$63.53	$117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $63.53 / $92.03	Professional		$49.70	$63.53	$92.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $148.88 / $291.94	Facility		$145.97	$148.88	$291.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $213.23	Professional		$68.81	$68.81	$213.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $121.62 / $121.62	Facility		$113.11	$121.62	$121.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $121.62 / $121.62	Professional		$121.62	$121.62	$121.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $73.43	Professional		$53.60	$53.60	$73.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $306.54 / $332.00	Facility		$145.97	$306.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $105.10 / $262.75	Professional		$75.38	$105.10	$262.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $87.77 / $104.69	Professional		$75.75	$87.77	$104.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $555.00	Facility		$73.43	$73.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.43 / $177.19	Professional		$53.60	$73.43	$177.19
United Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $72.83 / $131.37	Professional		$48.55	$72.83	$131.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $92.04	Facility		$87.77	$87.77	$92.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $87.77 / $93.26	Professional		$75.75	$87.77	$93.26