Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $72.27	Facility		$71.55	$71.55	$72.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $74.41	Professional		$71.55	$71.55	$74.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $71.55 / $71.55	Professional		$23.84	$71.55	$71.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $66.52 / $73.17	Facility		$66.52	$66.52	$73.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $66.52 / $66.52	Professional		$66.52	$66.52	$66.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $67.50 / $88.55	Facility		$21.42	$67.50	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $101.25 / $332.00	Facility		$71.55	$101.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $71.55 / $116.78	Professional		$70.88	$71.55	$116.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $74.25	Facility		$71.55	$71.55	$74.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $74.25 / $74.25	Professional		$71.55	$74.25	$74.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $67.50 / $597.00	Facility		$21.42	$67.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $71.55 / $75.84	Professional		$42.54	$71.55	$75.84
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $100.27	Professional		$71.55	$71.55	$100.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $74.25 / $74.25	Facility		$74.25	$74.25	$74.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $74.25 / $74.25	Professional		$71.55	$74.25	$74.25