Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $66.07 / $104.71	Facility		$35.48	$66.07	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $58.88	Professional		$23.99	$30.90	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Facility		$35.48	$35.48	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $83.18	Professional		$17.38	$17.38	$83.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $35.48	Facility		$20.89	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $35.48	Professional		$25.70	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $75.86 / $125.89	Facility		$23.44	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $169.82	Professional		$25.12	$52.48	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $125.89	Facility		$30.90	$45.71	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $66.07	Professional		$24.55	$29.51	$66.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $63.10	Professional		$28.18	$35.48	$63.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $50,118.72	Facility		$41.69	$66.07	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $29.51 / $51.29	Facility		$28.18	$29.51	$51.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $69.18	Professional		$28.84	$35.48	$69.18