Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $41.93 / $77.62	Facility		$35.40	$41.93	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $54.50 / $62.44	Professional		$35.40	$54.50	$62.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $98.28 / $192.70	Facility		$96.35	$98.28	$192.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $57.87 / $154.22	Professional		$57.87	$57.87	$154.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $80.28 / $80.28	Facility		$74.66	$80.28	$80.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $80.28	Professional		$80.28	$80.28	$80.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $60.21	Professional		$43.95	$43.95	$60.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $216.79 / $332.00	Facility		$96.35	$216.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $72.26 / $173.43	Professional		$49.75	$72.26	$173.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Facility		$55.55	$55.55	$55.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $57.93 / $69.09	Professional		$55.55	$57.93	$69.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $555.00	Facility		$60.21	$60.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $57.40 / $143.56	Professional		$43.95	$57.40	$143.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $58.54 / $86.72	Professional		$32.04	$58.54	$86.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $60.20	Facility		$57.93	$57.93	$60.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $57.93 / $61.55	Professional		$55.55	$57.93	$61.55