Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $117.49	Facility		$38.90	$70.79	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $102.33	Professional		$25.70	$38.02	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $102.33	Facility		$38.90	$38.90	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $66.07	Professional		$15.85	$15.85	$66.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.90 / $38.90	Facility		$23.44	$38.90	$38.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Professional		$38.90	$38.90	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $85.11 / $141.25	Facility		$26.30	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $53.70 / $190.55	Professional		$23.44	$53.70	$190.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $169.82	Facility		$45.71	$107.15	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $74.13	Professional		$27.54	$38.90	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $70.79	Professional		$31.62	$37.15	$70.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $50,118.72	Facility		$46.77	$74.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $40.74	Professional		$38.90	$38.90	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.90 / $46.77	Facility		$35.48	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $52.48	Professional		$16.60	$23.44	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Facility		$33.11	$41.69	$41.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $77.62	Professional		$31.62	$37.15	$77.62