Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $36.71 / $36.72	Facility		$26.58	$36.71	$36.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $33.72 / $39.19	Professional		$24.67	$33.72	$39.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $50.26 / $80.76	Professional		$40.21	$50.26	$80.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $43.77 / $8,917.50	Facility		$43.77	$43.77	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $43.77 / $43.77	Professional		$43.77	$43.77	$43.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $58.58 / $171.50	Professional		$46.01	$58.58	$171.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $90.83 / $332.00	Facility		$47.05	$90.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $58.24 / $90.81	Professional		$46.14	$58.24	$90.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Facility		$39.61	$39.61	$39.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $61.69 / $87.36	Professional		$39.61	$61.69	$87.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $555.00 / $74,999.25	Facility		$41.01	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $58.58 / $171.50	Professional		$48.89	$58.58	$171.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $39.09 / $80.56	Professional		$28.51	$39.09	$80.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Facility		$39.61	$39.61	$39.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $83.12	Professional		$39.61	$39.61	$83.12