Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $74.13 / $117.49	Facility		$42.66	$74.13	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $44.67	Professional		$16.98	$16.98	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $42.66 / $42.66	Facility		$25.12	$42.66	$42.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $42.66	Professional		$30.90	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $151.36	Facility		$27.54	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $204.17 / $204.17	Professional		$42.66	$204.17	$204.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $117.49	Facility		$42.66	$54.95	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $81.28	Professional		$19.95	$29.51	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $47.86	Professional		$25.12	$41.69	$47.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $79.43 / $50,118.72	Facility		$42.66	$79.43	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $51.29	Facility		$25.12	$38.02	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.54 / $67.61	Professional		$16.98	$27.54	$67.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $48.98	Facility		$25.70	$43.65	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $48.98	Professional		$25.70	$42.66	$48.98