Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $123.03	Facility		$34.67	$70.79	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $75.86	Professional		$19.05	$33.11	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $104.71	Facility		$40.74	$40.74	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $70.79	Professional		$16.22	$16.22	$70.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $40.74	Facility		$24.55	$40.74	$40.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $40.74	Professional		$29.51	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $87.10 / $234.42	Facility		$30.90	$87.10	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $48.98 / $173.78	Professional		$22.39	$48.98	$173.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $95.50	Facility		$15.85	$40.74	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $77.62	Professional		$28.18	$37.15	$77.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $72.44	Professional		$29.51	$38.90	$72.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $75.86 / $50,118.72	Facility		$22.39	$75.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $48.98	Facility		$36.31	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $61.66	Professional		$16.98	$24.55	$61.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $44.67	Facility		$34.67	$37.15	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $97.72	Professional		$31.62	$40.74	$97.72