Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $162.18	Facility		$53.70	$93.33	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $79.43	Professional		$25.12	$44.67	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $138.04	Facility		$53.70	$53.70	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $100.00	Professional		$21.38	$21.38	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $53.70	Facility		$32.36	$53.70	$53.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $53.70	Professional		$38.90	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $114.82 / $380.19	Facility		$40.74	$114.82	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $257.04	Professional		$29.51	$64.57	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $147.91	Facility		$21.88	$53.70	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $102.33	Professional		$37.15	$52.48	$102.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $95.50	Professional		$41.69	$52.48	$95.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $50,118.72	Facility		$43.65	$100.00	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $64.57	Facility		$47.86	$53.70	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $70.79	Professional		$22.39	$30.90	$70.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $61.66 / $128.82	Facility		$30.20	$61.66	$128.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $141.25	Professional		$45.71	$53.70	$141.25