Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $41.07 / $76.03	Facility		$34.68	$41.07	$76.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $44.81 / $59.51	Professional		$34.68	$44.81	$59.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $96.28 / $188.78	Facility		$94.39	$96.28	$188.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $145.47	Professional		$50.99	$50.99	$145.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $78.64 / $78.64	Facility		$73.14	$78.64	$78.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $78.64 / $78.64	Professional		$78.64	$78.64	$78.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $59.87	Facility		$59.87	$59.87	$59.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $59.87	Professional		$43.71	$43.71	$59.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $212.38 / $332.00	Facility		$94.39	$212.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $70.79 / $169.90	Professional		$48.74	$70.79	$169.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $56.74 / $67.68	Professional		$35.35	$56.74	$67.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $555.00	Facility		$59.87	$59.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $56.23 / $134.06	Professional		$43.71	$56.23	$134.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $55.89 / $84.01	Professional		$31.39	$55.89	$84.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $56.74 / $58.96	Facility		$56.74	$56.74	$58.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $56.74 / $60.29	Professional		$35.35	$56.74	$60.29