Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $117.49	Facility		$30.90	$38.02	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $56.23	Professional		$26.92	$32.36	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $50,118.72	Facility		$30.90	$33.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $162.18	Professional		$33.88	$33.88	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $117.49	Facility		$32.36	$47.86	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.90	Professional		$32.36	$32.36	$38.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Professional		$31.62	$31.62	$33.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $50,118.72 / $75,857.76	Facility		$66.07	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $32.36	Facility		$30.90	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $52.48	Professional		$33.88	$36.31	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Facility		$31.62	$31.62	$38.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Professional		$31.62	$31.62	$38.02