Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $30.87 / $57.14	Facility		$26.07	$30.87	$57.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $30.87 / $44.72	Professional		$26.07	$30.87	$44.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $72.34 / $141.86	Facility		$70.93	$72.34	$141.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $34.64 / $105.65	Professional		$34.64	$34.64	$105.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $59.10 / $59.10	Facility		$54.96	$59.10	$59.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $59.10	Professional		$59.10	$59.10	$59.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.26 / $35.97	Professional		$26.26	$26.26	$35.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $159.59 / $332.00	Facility		$70.93	$159.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $51.07 / $127.67	Professional		$36.63	$51.07	$127.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $42.65 / $50.87	Professional		$25.25	$42.65	$50.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $555.00	Facility		$35.97	$35.97	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $84.39	Professional		$26.26	$35.97	$84.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $42.56 / $58.98	Professional		$23.59	$42.56	$58.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $42.65 / $44.32	Facility		$42.65	$42.65	$44.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $42.65 / $45.31	Professional		$25.25	$42.65	$45.31