Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $32.36 / $59.90	Facility		$27.33	$32.36	$59.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $32.79 / $46.88	Professional		$27.33	$32.79	$46.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $75.84 / $148.69	Facility		$74.34	$75.84	$148.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $117.39	Professional		$42.38	$42.38	$117.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $61.95 / $61.95	Facility		$57.61	$61.95	$61.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $61.95 / $61.95	Professional		$61.95	$61.95	$61.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $43.76	Professional		$37.20	$37.20	$43.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $167.29 / $332.00	Facility		$74.34	$167.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $55.02 / $133.83	Professional		$40.15	$55.02	$133.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $50.19 / $50.19	Facility		$50.19	$50.19	$50.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $47.51 / $60.23	Professional		$44.71	$47.51	$60.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $555.00	Facility		$43.76	$43.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $43.76 / $115.24	Professional		$37.20	$43.76	$115.24
United Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $44.61 / $66.95	Professional		$24.73	$44.61	$66.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $44.71 / $44.71	Facility		$39.75	$44.71	$44.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $44.71 / $50.19	Professional		$44.71	$44.71	$50.19