Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $45.25 / $45.25	Facility		$36.74	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $43.66 / $45.25	Professional		$36.74	$43.66	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $34.18 / $72.12	Professional		$12.31	$34.18	$72.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $32.97	Facility		$29.98	$29.98	$32.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Professional		$29.98	$29.98	$29.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $45.25 / $45.25	Facility		$32.44	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $30.58 / $52.90	Facility		$30.58	$30.58	$52.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Professional		$30.58	$30.58	$30.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $31.78 / $31.78	Facility		$30.58	$31.78	$31.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $31.78	Professional		$30.58	$30.58	$31.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $45.25 / $597.00	Facility		$32.44	$45.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $66.54	Professional		$44.36	$44.36	$66.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Facility		$30.58	$30.58	$30.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $31.78	Professional		$30.58	$30.58	$31.78