Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $33.17 / $61.39	Facility		$28.01	$33.17	$61.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.61 / $48.05	Professional		$28.01	$33.61	$48.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $77.75 / $152.46	Facility		$76.23	$77.75	$152.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $118.75 / $158.56	Professional		$69.38	$118.75	$158.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $63.50 / $63.50	Facility		$59.06	$63.50	$63.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $63.50 / $63.50	Professional		$63.50	$63.50	$63.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $62.01	Professional		$52.71	$52.71	$62.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $171.52 / $332.00	Facility		$76.23	$171.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $57.17 / $138.88	Professional		$44.98	$57.17	$138.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $57.85 / $57.85	Facility		$57.85	$57.85	$57.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $46.83 / $63.50	Professional		$44.08	$46.83	$63.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $555.00	Facility		$62.01	$62.01	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $52.71 / $112.97	Professional		$47.10	$52.71	$112.97
United Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $46.00 / $52.45	Facility		$28.75	$46.00	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $45.74 / $68.61	Professional		$25.35	$45.74	$68.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.08 / $44.08	Facility		$40.74	$44.08	$44.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $46.83	Professional		$44.08	$44.08	$46.83