Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $42.54 / $78.75	Facility		$35.92	$42.54	$78.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $42.54 / $61.63	Professional		$35.82	$42.54	$61.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $99.72 / $195.52	Facility		$97.76	$99.72	$195.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $44.58 / $142.80	Professional		$44.58	$44.58	$142.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $81.44 / $81.44	Facility		$75.73	$81.44	$81.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Professional		$81.44	$81.44	$81.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $45.81	Professional		$33.44	$33.44	$45.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $219.96 / $332.00	Facility		$97.76	$219.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $70.39 / $175.97	Professional		$50.48	$70.39	$175.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $58.77 / $70.09	Professional		$50.50	$58.77	$70.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $555.00	Facility		$45.81	$45.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $116.31	Professional		$33.44	$45.81	$116.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $52.52 / $84.26	Professional		$32.51	$52.52	$84.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $58.77 / $58.77	Facility		$52.25	$58.77	$58.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $58.77 / $62.44	Professional		$50.50	$58.77	$62.44