Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $49.12	Facility		$38.54	$38.54	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $40.08	Professional		$38.54	$38.54	$40.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $75.59	Professional		$38.54	$38.54	$75.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $46.58 / $51.24	Facility		$46.58	$46.58	$51.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $46.58 / $46.58	Professional		$46.58	$46.58	$46.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $38.54 / $85.00	Facility		$36.36	$38.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $50.72	Professional		$38.54	$38.54	$50.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $54.54 / $332.00	Facility		$38.54	$54.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $47.02	Professional		$38.54	$38.54	$47.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $40.00	Facility		$38.54	$38.54	$40.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $40.00 / $40.00	Professional		$38.54	$40.00	$40.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $43.18 / $597.00	Facility		$36.36	$43.18	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $57.07	Professional		$38.54	$38.54	$57.07
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $59.14	Professional		$38.54	$38.54	$59.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $40.00 / $40.00	Facility		$19.91	$40.00	$40.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $40.00 / $40.00	Professional		$38.54	$40.00	$40.00