Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $213.80	Facility		$56.23	$107.15	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $109.65	Professional		$30.20	$39.81	$109.65
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 $30.90 / $40.74 / $107.15	Professional		$30.90	$40.74	$107.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $758.58 / $933.25	Facility		$120.23	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $186.21	Professional		$36.31	$67.61	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $144.54	Facility		$34.67	$54.95	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $85.11	Professional		$46.77	$57.54	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $83.18	Professional		$36.31	$51.29	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $208.93 / $53,703.18	Facility		$70.79	$208.93	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $60.26	Professional		$46.77	$54.95	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,148.15	Facility		$630.96	$912.01	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $97.72	Professional		$34.67	$46.77	$97.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Facility		$32.36	$41.69	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $112.20	Professional		$32.36	$52.48	$112.20