Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $48.35 / $89.50	Facility		$40.83	$48.35	$89.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $49.02 / $70.04	Professional		$40.83	$49.02	$70.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $113.31 / $222.18	Facility		$111.09	$113.31	$222.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $171.25	Professional		$61.08	$61.08	$171.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $92.56 / $92.56	Facility		$86.08	$92.56	$92.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $92.56 / $92.56	Professional		$92.56	$92.56	$92.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $90.38	Professional		$76.81	$76.81	$90.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $249.95 / $332.00	Facility		$111.09	$249.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $82.21 / $199.96	Professional		$57.37	$82.21	$199.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $66.80 / $79.68	Professional		$49.09	$66.80	$79.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $555.00	Facility		$90.38	$90.38	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $76.81 / $165.00	Professional		$68.67	$76.81	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $66.65 / $101.62	Professional		$36.95	$66.65	$101.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $66.80 / $66.80	Facility		$59.39	$66.80	$66.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $66.80 / $70.97	Professional		$49.09	$66.80	$70.97