Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $27.86 / $51.56	Facility		$23.53	$27.86	$51.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $28.13 / $40.36	Professional		$23.53	$28.13	$40.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $65.29 / $128.02	Facility		$64.01	$65.29	$128.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $33.40 / $98.65	Professional		$33.40	$33.40	$98.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $53.33 / $53.33	Facility		$49.60	$53.33	$53.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $53.33 / $53.33	Professional		$53.33	$53.33	$53.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $34.54	Professional		$25.21	$25.21	$34.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $144.02 / $332.00	Facility		$64.01	$144.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $48.01 / $115.22	Professional		$33.04	$48.01	$115.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $38.49 / $45.90	Professional		$35.35	$38.49	$45.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $555.00	Facility		$34.54	$34.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $80.16	Professional		$25.21	$34.54	$80.16
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $38.40 / $54.01	Professional		$21.29	$38.40	$54.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $38.49 / $40.00	Facility		$38.49	$38.49	$40.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $38.49 / $40.90	Professional		$35.35	$38.49	$40.90