Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $125.89	Facility		$41.69	$79.43	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $81.28	Professional		$28.84	$38.90	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $109.65	Facility		$41.69	$41.69	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $107.15	Professional		$20.42	$20.42	$107.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $41.69	Facility		$25.12	$41.69	$41.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $41.69	Professional		$30.20	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $104.71 / $457.09	Facility		$31.62	$104.71	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $60.26 / $223.87	Professional		$28.84	$60.26	$223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $50.12 / $114.82	Facility		$26.30	$50.12	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $79.43	Professional		$29.51	$41.69	$79.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $74.13	Professional		$35.48	$41.69	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $79.43 / $50,118.72	Facility		$52.48	$79.43	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $50.12	Facility		$37.15	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $63.10	Professional		$17.38	$25.12	$63.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $134.90	Facility		$35.48	$47.86	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $134.90	Professional		$35.48	$43.65	$134.90