Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $25.81 / $47.78	Facility		$21.79	$25.81	$47.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $28.59 / $37.40	Professional		$21.79	$28.59	$37.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $60.51 / $118.64	Facility		$59.32	$60.51	$118.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $35.13 / $94.04	Professional		$35.13	$35.13	$94.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $49.42 / $49.42	Facility		$45.96	$49.42	$49.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Professional		$49.42	$49.42	$49.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $37.36	Professional		$27.27	$27.27	$37.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $133.47 / $332.00	Facility		$59.32	$133.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $44.49 / $106.78	Professional		$30.63	$44.49	$106.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $35.65 / $42.53	Professional		$25.25	$35.65	$42.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $555.00	Facility		$37.36	$37.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $35.33 / $83.91	Professional		$27.27	$35.33	$83.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $36.10 / $54.25	Professional		$19.73	$36.10	$54.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $37.06	Facility		$35.65	$35.65	$37.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $35.65 / $37.88	Professional		$25.25	$35.65	$37.88