Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $194.98	Facility		$54.95	$120.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $61.66	Professional		$33.88	$47.86	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $48.98	Professional		$6.92	$6.92	$48.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $64.57	Professional		$46.77	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $138.04 / $165.96	Facility		$41.69	$138.04	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $309.03 / $309.03	Professional		$74.13	$309.03	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $245.47	Facility		$64.57	$104.71	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $125.89	Professional		$30.20	$38.90	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $72.44	Professional		$39.81	$64.57	$72.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $120.23 / $50,118.72	Facility		$83.18	$120.23	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Facility		$38.90	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $95.50	Professional		$26.92	$37.15	$95.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $74.13	Facility		$38.90	$64.57	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $74.13	Professional		$38.90	$64.57	$74.13