Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $204.17	Facility		$64.57	$123.03	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $109.65	Professional		$34.67	$54.95	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $177.83	Facility		$69.18	$69.18	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $114.82	Professional		$27.54	$27.54	$114.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $69.18	Facility		$40.74	$69.18	$69.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $69.18	Professional		$50.12	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $144.54 / $245.47	Facility		$45.71	$144.54	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $331.13	Professional		$40.74	$83.18	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $69.18 / $190.55	Facility		$20.89	$69.18	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $128.82	Professional		$47.86	$67.61	$128.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $123.03	Professional		$53.70	$64.57	$123.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $50,118.72	Facility		$52.48	$128.82	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $69.18 / $83.18	Facility		$61.66	$69.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $89.13	Professional		$28.84	$38.90	$89.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $58.88 / $81.28	Facility		$20.42	$58.88	$81.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $134.90	Professional		$48.98	$64.57	$134.90