Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $128.82	Facility		$42.66	$81.28	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $83.18	Professional		$30.90	$39.81	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $112.20	Facility		$42.66	$42.66	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $109.65	Professional		$21.38	$21.38	$109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $42.66	Facility		$25.70	$42.66	$42.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $42.66	Professional		$31.62	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $107.15 / $467.74	Facility		$32.36	$107.15	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $229.09	Professional		$30.20	$61.66	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $117.49	Facility		$26.92	$51.29	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $81.28	Professional		$30.20	$42.66	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $75.86	Professional		$36.31	$42.66	$75.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $50,118.72	Facility		$53.70	$81.28	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $54.95	Professional		$42.66	$42.66	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $42.66 / $51.29	Facility		$38.90	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $64.57	Professional		$17.78	$25.70	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $134.90	Facility		$36.31	$48.98	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $134.90	Professional		$36.31	$44.67	$134.90