Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $59.39 / $82.02	Facility		$45.19	$59.39	$82.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $51.33 / $82.02	Professional		$37.90	$51.33	$82.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.54 / $114.44	Professional		$24.08	$30.54	$114.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $61.86 / $61.86	Facility		$57.53	$61.86	$61.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Professional		$61.86	$61.86	$61.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $134.93 / $332.00	Facility		$73.73	$134.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $99.83 / $159.99	Professional		$77.42	$99.83	$159.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Facility		$62.50	$62.50	$62.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $66.41 / $66.41	Professional		$61.86	$66.41	$66.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $597.00	Facility		$86.40	$86.40	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.08 / $126.30	Professional		$26.00	$30.08	$126.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $46.04 / $82.77	Professional		$24.52	$46.04	$82.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Facility		$62.50	$62.50	$62.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $66.41	Professional		$62.50	$62.50	$66.41