Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $67.44 / $87.66	Facility		$51.32	$67.44	$87.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $58.30 / $79.17	Professional		$36.00	$58.30	$79.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $34.67 / $129.94	Professional		$27.34	$34.67	$129.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $70.23 / $70.23	Facility		$65.31	$70.23	$70.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Professional		$70.23	$70.23	$70.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $153.21 / $332.00	Facility		$83.72	$153.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $113.36 / $181.67	Professional		$87.91	$113.36	$181.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $52.32 / $52.32	Facility		$52.32	$52.32	$52.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $55.59 / $70.23	Professional		$52.32	$55.59	$70.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $597.00	Facility		$98.11	$98.11	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $34.15 / $143.40	Professional		$15.00	$34.15	$143.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $50.23 / $105.50	Professional		$27.84	$50.23	$105.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $52.32 / $56.42	Facility		$52.32	$52.32	$56.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $52.32 / $55.59	Professional		$52.32	$52.32	$55.59