Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $177.83	Facility		$58.88	$107.15	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $109.65	Professional		$34.67	$48.98	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $151.36	Facility		$58.88	$58.88	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $117.49	Professional		$23.44	$23.44	$117.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $58.88	Facility		$35.48	$58.88	$58.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $58.88	Professional		$42.66	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $125.89 / $467.74	Facility		$44.67	$125.89	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $281.84	Professional		$35.48	$72.44	$281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $58.88 / $162.18	Facility		$26.92	$58.88	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $112.20	Professional		$40.74	$57.54	$112.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $104.71	Professional		$50.12	$57.54	$104.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $50,118.72	Facility		$53.70	$109.65	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $60.26	Professional		$58.88	$58.88	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $70.79	Facility		$52.48	$58.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $79.43	Professional		$24.55	$35.48	$79.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $134.90	Facility		$37.15	$67.61	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $154.88	Professional		$50.12	$58.88	$154.88