Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $39.51 / $73.13	Facility		$33.36	$39.51	$73.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.51 / $57.23	Professional		$33.36	$39.51	$57.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $92.61 / $181.58	Facility		$90.79	$92.61	$181.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $50.93 / $141.07	Professional		$50.93	$50.93	$141.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $75.63 / $75.63	Facility		$70.34	$75.63	$75.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $75.63 / $75.63	Professional		$75.63	$75.63	$75.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $50.36	Professional		$36.76	$36.76	$50.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $204.28 / $332.00	Facility		$90.79	$204.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $65.37 / $163.41	Professional		$46.88	$65.37	$163.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.58 / $65.09	Professional		$37.36	$54.58	$65.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $555.00	Facility		$50.36	$50.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $112.97	Professional		$36.76	$50.36	$112.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $51.79 / $81.70	Professional		$30.19	$51.79	$81.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $56.71	Facility		$54.58	$54.58	$56.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.58 / $57.98	Professional		$37.36	$54.58	$57.98