Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $165.96	Facility		$56.23	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $102.33	Professional		$33.88	$46.77	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $144.54	Facility		$56.23	$56.23	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $114.82	Professional		$22.39	$22.39	$114.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $56.23 / $56.23	Facility		$33.11	$56.23	$56.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $56.23	Professional		$40.74	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $120.23 / $457.09	Facility		$42.66	$120.23	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $275.42	Professional		$33.88	$69.18	$275.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $56.23 / $154.88	Facility		$26.30	$56.23	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $104.71	Professional		$38.90	$54.95	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $100.00	Professional		$47.86	$54.95	$100.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $50,118.72	Facility		$52.48	$104.71	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $58.88	Professional		$56.23	$56.23	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $56.23 / $67.61	Facility		$50.12	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $75.86	Professional		$23.44	$33.11	$75.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $134.90	Facility		$36.31	$64.57	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $147.91	Professional		$47.86	$56.23	$147.91