Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $58.88 / $93.33	Facility		$26.92	$58.88	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $30.20	Professional		$16.98	$23.99	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $81.28	Facility		$31.62	$31.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $28.18	Professional		$6.61	$6.61	$28.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $31.62	Professional		$22.91	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $67.61 / $81.28	Facility		$20.42	$67.61	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $151.36 / $151.36	Professional		$36.31	$151.36	$151.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $120.23	Facility		$31.62	$51.29	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $60.26	Professional		$14.79	$18.62	$60.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $35.48	Professional		$19.50	$31.62	$35.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $50,118.72	Facility		$40.74	$58.88	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.18 / $38.02	Facility		$18.62	$28.18	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $46.77	Professional		$13.18	$18.62	$46.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $36.31	Facility		$18.62	$31.62	$36.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $36.31	Professional		$19.05	$31.62	$36.31