Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $141.25 / $239.88	Facility		$25.12	$141.25	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $61.66 / $100.00	Professional		$6.03	$61.66	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $208.93	Facility		$81.28	$81.28	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $109.65	Professional		$7.94	$32.36	$109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $81.28	Facility		$47.86	$81.28	$81.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $81.28	Professional		$58.88	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $173.78 / $208.93	Facility		$52.48	$173.78	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $93.33 / $389.05	Professional		$6.61	$93.33	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $81.28 / $181.97	Facility		$4.47	$81.28	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $47.86 / $154.88	Professional		$9.77	$47.86	$154.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $85.11	Professional		$5.89	$9.12	$85.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $144.54 / $50,118.72	Facility		$7.59	$144.54	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $72.44 / $95.50	Facility		$6.31	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $33.88 / $120.23	Professional		$6.31	$33.88	$120.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.12 / $93.33	Facility		$7.59	$9.12	$93.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.79 / $91.20	Professional		$7.24	$14.79	$91.20