Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $100.74 / $6,927.86	Facility		$69.37	$100.74	$6,927.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $87.40	Professional		$69.37	$69.37	$87.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $69.37	Facility		$55.50	$55.50	$69.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $69.37 / $74.51	Professional		$29.87	$69.37	$74.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $48.50 / $50.93	Facility		$48.50	$48.50	$50.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $48.50 / $48.50	Professional		$48.50	$48.50	$48.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $95.37	Facility		$63.71	$69.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $107.98 / $332.00	Facility		$73.26	$107.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $73.26 / $113.21	Professional		$62.27	$73.26	$113.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $86.98 / $95.37	Facility		$63.71	$86.98	$95.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $76.76	Professional		$69.37	$69.37	$76.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $92.96	Professional		$69.37	$73.53	$92.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37