Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $144.54	Facility		$47.86	$89.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $70.79	Professional		$34.67	$38.02	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $123.03	Facility		$47.86	$47.86	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $123.03	Professional		$23.44	$23.44	$123.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $47.86	Facility		$28.84	$47.86	$47.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $47.86	Professional		$34.67	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $512.86	Facility		$33.11	$102.33	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $316.23	Professional		$30.90	$67.61	$316.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $131.83	Facility		$26.30	$54.95	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $93.33	Professional		$22.39	$33.11	$93.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $63.10	Professional		$40.74	$47.86	$63.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $50,118.72	Facility		$58.88	$89.13	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $57.54	Facility		$28.84	$42.66	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $72.44	Professional		$19.95	$28.84	$72.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $141.25	Facility		$40.74	$54.95	$141.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $162.18	Professional		$40.74	$50.12	$162.18