Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $76.54 / $99.48	Facility		$58.24	$76.54	$99.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $66.16 / $89.86	Professional		$30.35	$66.16	$89.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $39.35 / $147.46	Professional		$31.03	$39.35	$147.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.70 / $79.70	Facility		$74.13	$79.70	$79.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $79.70 / $79.70	Professional		$79.70	$79.70	$79.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $173.89 / $332.00	Facility		$95.02	$173.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $128.66 / $206.19	Professional		$99.77	$128.66	$206.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Facility		$61.65	$61.65	$61.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $65.51 / $79.70	Professional		$61.65	$65.51	$79.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $597.00	Facility		$111.35	$111.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $38.77 / $162.74	Professional		$15.00	$38.77	$162.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $57.01 / $119.73	Professional		$31.60	$57.01	$119.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $61.65 / $66.17	Facility		$61.65	$61.65	$66.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $61.65 / $65.51	Professional		$61.65	$61.65	$65.51