Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.84	Professional		$16.98	$23.99	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $38.90	Professional		$20.42	$23.99	$38.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $8,912.51	Facility		$34.67	$34.67	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $50,118.72	Facility		$38.90	$38.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $112.20 / $112.20	Professional		$22.39	$112.20	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $54.95	Professional		$24.55	$35.48	$54.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $9,120.11	Facility		$1,318.26	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $60.26	Professional		$22.39	$30.20	$60.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $53.70	Professional		$24.55	$24.55	$53.70