Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $38.27 / $49.74	Facility		$29.12	$38.27	$49.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $33.08 / $67.94	Professional		$15.17	$33.08	$67.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $19.67 / $73.73	Professional		$15.51	$19.67	$73.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $39.86 / $39.86	Facility		$37.07	$39.86	$39.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $86.94 / $332.00	Facility		$47.51	$86.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $64.33 / $103.10	Professional		$49.89	$64.33	$103.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $30.83 / $30.83	Facility		$30.83	$30.83	$30.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $32.75 / $39.86	Professional		$30.83	$32.75	$39.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $597.00	Facility		$55.68	$55.68	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.38 / $81.37	Professional		$15.00	$19.38	$81.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $28.51 / $49.93	Professional		$15.80	$28.51	$49.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $30.83 / $33.09	Facility		$30.83	$30.83	$33.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $30.83 / $32.75	Professional		$30.83	$30.83	$32.75