Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $47.94 / $88.74	Facility		$40.47	$47.94	$88.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $60.08 / $69.45	Professional		$40.47	$60.08	$69.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $112.37 / $220.34	Facility		$110.17	$112.37	$220.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.69 / $177.72	Professional		$66.69	$66.69	$177.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $91.79 / $91.79	Facility		$85.36	$91.79	$91.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $91.79 / $91.79	Professional		$91.79	$91.79	$91.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $68.84	Professional		$50.25	$50.25	$68.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $247.88 / $332.00	Facility		$110.17	$247.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $82.63 / $198.31	Professional		$56.89	$82.63	$198.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $64.64 / $64.64	Facility		$64.64	$64.64	$64.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $66.23 / $79.00	Professional		$64.64	$66.23	$79.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $555.00	Facility		$68.84	$68.84	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $65.64 / $179.53	Professional		$50.25	$65.64	$179.53
United Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $66.09 / $100.76	Professional		$36.64	$66.09	$100.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $68.83	Facility		$66.23	$66.23	$68.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $66.23 / $70.37	Professional		$64.64	$66.23	$70.37