Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $35.58 / $65.86	Facility		$30.04	$35.58	$65.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $35.58 / $51.54	Professional		$30.04	$35.58	$51.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $83.40 / $163.52	Facility		$81.76	$83.40	$163.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $119.43	Professional		$39.13	$39.13	$119.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $68.11 / $68.11	Facility		$63.34	$68.11	$68.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $68.11 / $68.11	Professional		$68.11	$68.11	$68.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $44.94	Professional		$32.81	$32.81	$44.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $183.96 / $332.00	Facility		$81.76	$183.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $58.87 / $147.16	Professional		$43.63	$58.87	$147.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $52.22 / $65.45	Professional		$49.15	$52.22	$65.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $555.00	Facility		$44.94	$44.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $100.78	Professional		$32.81	$44.94	$100.78
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $43.78 / $70.47	Professional		$27.19	$43.78	$70.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $51.08	Facility		$49.15	$49.15	$51.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $49.15 / $54.54	Professional		$49.15	$49.15	$54.54