Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $173.78	Facility		$57.54	$109.65	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $85.11	Professional		$42.66	$47.86	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $151.36	Facility		$57.54	$57.54	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $138.04	Professional		$28.84	$29.51	$138.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $57.54 / $57.54	Facility		$34.67	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $57.54	Professional		$42.66	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $50,118.72	Facility		$72.44	$109.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $66.07 / $158.49	Facility		$32.36	$66.07	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $112.20	Professional		$27.54	$40.74	$112.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $87.10	Professional		$48.98	$57.54	$87.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $50,118.72	Facility		$72.44	$109.65	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $69.18	Facility		$34.67	$52.48	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $87.10	Professional		$24.55	$34.67	$87.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $186.21	Facility		$48.98	$66.07	$186.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $199.53	Professional		$48.98	$60.26	$199.53