Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $104.71	Facility		$29.51	$66.07	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $38.02	Professional		$20.89	$28.18	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Facility		$35.48	$35.48	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $50.12	Professional		$19.05	$19.05	$50.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $35.48	Professional		$25.70	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $75.86 / $91.20	Facility		$22.91	$75.86	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $169.82	Professional		$35.48	$51.29	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $134.90	Facility		$35.48	$57.54	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $67.61	Professional		$37.15	$47.86	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $63.10	Professional		$28.18	$34.67	$63.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $50,118.72	Facility		$45.71	$66.07	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $36.31	Professional		$35.48	$35.48	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $53.70	Professional		$14.79	$20.89	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $40.74	Facility		$20.89	$35.48	$40.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $69.18	Professional		$28.18	$35.48	$69.18