Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $25.78 / $47.73	Facility		$21.78	$25.78	$47.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $33.71 / $38.40	Professional		$21.78	$33.71	$38.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $60.44 / $118.50	Facility		$59.25	$60.44	$118.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $96.49	Professional		$36.21	$36.21	$96.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $49.37 / $49.37	Facility		$45.91	$49.37	$49.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $49.37 / $49.37	Professional		$49.37	$49.37	$49.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $133.31 / $332.00	Facility		$59.25	$133.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $44.44 / $106.65	Professional		$30.60	$44.44	$106.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $34.27 / $42.49	Professional		$30.30	$34.27	$42.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $555.00	Facility		$37.03	$37.03	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $35.31 / $85.78	Professional		$27.03	$35.31	$85.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $35.54 / $53.33	Professional		$19.71	$35.54	$53.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $34.27 / $37.02	Facility		$34.27	$34.27	$37.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $34.27 / $36.40	Professional		$30.30	$34.27	$36.40