Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $102.33	Facility		$33.88	$64.57	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $33.11	Professional		$10.00	$25.12	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $89.13	Facility		$33.88	$33.88	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $45.71	Professional		$6.46	$6.46	$45.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $33.88	Professional		$25.12	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $72.44 / $87.10	Facility		$22.39	$72.44	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $165.96 / $1,862.09	Professional		$38.90	$165.96	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $131.83	Facility		$33.88	$56.23	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $66.07	Professional		$16.22	$20.42	$66.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $38.02	Professional		$21.88	$32.36	$38.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $50,118.72	Facility		$44.67	$64.57	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.90 / $40.74	Facility		$14.45	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $51.29	Professional		$14.45	$20.42	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $38.90	Facility		$28.84	$33.88	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $38.90	Professional		$20.89	$33.11	$38.90