Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $41.55	Facility		$39.31	$39.31	$41.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $40.89	Professional		$39.31	$39.31	$40.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $95.09	Professional		$39.31	$39.31	$95.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $137.81 / $151.59	Facility		$137.81	$137.81	$151.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $137.81 / $137.81	Professional		$137.81	$137.81	$137.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $39.31 / $969.00	Facility		$37.09	$39.31	$969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $55.64 / $332.00	Facility		$39.31	$55.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $39.31 / $67.87	Professional		$38.94	$39.31	$67.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $40.79	Facility		$39.31	$39.31	$40.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $40.79 / $40.79	Professional		$39.31	$40.79	$40.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $130.09 / $969.00	Facility		$37.09	$130.09	$969.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $52.79	Professional		$39.31	$39.31	$52.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $60.32	Professional		$39.31	$39.31	$60.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $40.79 / $40.79	Professional		$39.31	$40.79	$40.79