Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.36 / $45.71	Facility		$20.89	$32.36	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $64.57	Professional		$19.95	$30.20	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $72.44	Professional		$23.99	$31.62	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Professional		$26.92	$26.92	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $50,118.72	Facility		$23.99	$31.62	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $91.20	Professional		$17.78	$36.31	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $58.88	Facility		$16.60	$21.38	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $32.36 / $54.95	Professional		$4.27	$32.36	$54.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $51.29	Professional		$19.05	$32.36	$51.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $75,857.76	Facility		$16.60	$23.99	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $398.11	Professional		$27.54	$27.54	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $63.10	Professional		$17.38	$28.84	$63.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $69.18	Facility		$15.14	$23.44	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $70.79	Professional		$19.05	$34.67	$70.79