Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $89.13 / $141.25	Facility		$39.81	$89.13	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $52.48	Professional		$28.18	$37.15	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $79.43	Professional		$43.65	$54.95	$79.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $46.77	Professional		$34.67	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $100.00 / $123.03	Facility		$30.90	$100.00	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $229.09 / $229.09	Professional		$46.77	$229.09	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $181.97	Facility		$46.77	$77.62	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $91.20	Professional		$33.11	$57.54	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $83.18	Professional		$39.81	$46.77	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $50,118.72	Facility		$61.66	$89.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $47.86	Professional		$46.77	$46.77	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $56.23	Facility		$42.66	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $61.66	Professional		$19.95	$28.18	$61.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $53.70	Facility		$39.81	$46.77	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $93.33	Professional		$32.36	$46.77	$93.33