Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $64.57	Professional		$38.02	$53.70	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $81.28	Professional		$45.71	$53.70	$81.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $50,118.72	Facility		$87.10	$87.10	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $263.03 / $263.03	Professional		$53.70	$263.03	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $134.90	Professional		$53.70	$77.62	$134.90
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 $190.55 / $223.87 / $275.42	Facility		$190.55	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $151.36	Professional		$47.86	$63.10	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $117.49	Professional		$53.70	$53.70	$117.49