Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $41.76 / $77.29	Facility		$35.26	$41.76	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $43.11 / $60.49	Professional		$35.26	$43.11	$60.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $97.87 / $191.90	Facility		$95.95	$97.87	$191.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $54.49 / $150.93	Professional		$54.49	$54.49	$150.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $79.94 / $79.94	Facility		$74.34	$79.94	$79.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Professional		$79.94	$79.94	$79.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $59.82	Professional		$43.67	$43.67	$59.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $215.89 / $332.00	Facility		$95.95	$215.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $71.95 / $172.71	Professional		$49.54	$71.95	$172.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $49.49 / $49.49	Facility		$49.49	$49.49	$49.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $57.69 / $68.81	Professional		$49.49	$57.69	$68.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $555.00	Facility		$59.82	$59.82	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $57.15 / $134.06	Professional		$43.67	$57.15	$134.06
United Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $120.21 / $120.21	Facility		$120.21	$120.21	$120.21
United Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $57.57 / $86.39	Professional		$31.91	$57.57	$86.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $57.69 / $59.93	Facility		$57.69	$57.69	$59.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $57.69 / $61.29	Professional		$49.49	$57.69	$61.29