Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $53.87 / $99.71	Facility		$45.49	$53.87	$99.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $54.60 / $78.04	Professional		$45.49	$54.60	$78.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $126.26 / $247.56	Facility		$123.78	$126.26	$247.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $332.50 / $332.50	Professional		$112.67	$332.50	$332.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.91 / $103.13 / $103.13	Facility		$95.91	$103.13	$103.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.13 / $103.13	Professional		$103.13	$103.13	$103.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $100.70	Professional		$85.60	$85.60	$100.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $278.51 / $332.00	Facility		$123.78	$278.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $92.84 / $225.53	Professional		$73.03	$92.84	$225.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $83.53 / $83.53	Facility		$83.53	$83.53	$83.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $79.06 / $103.13	Professional		$74.41	$79.06	$103.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $555.00	Facility		$100.70	$100.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $85.60 / $191.86	Professional		$76.50	$85.60	$191.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $74.27 / $113.21	Professional		$41.17	$74.27	$113.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.16 / $74.41 / $74.41	Facility		$66.16	$74.41	$74.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $74.41 / $79.06	Professional		$74.41	$74.41	$79.06