Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $46.30 / $119.97	Facility		$30.58	$46.30	$119.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $36.76 / $65.95	Professional		$26.36	$36.76	$65.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $30.01 / $89.52	Professional		$23.85	$30.01	$89.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $38.56 / $38.56	Facility		$38.56	$38.56	$38.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $38.56 / $38.56	Professional		$38.56	$38.56	$38.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $140.18 / $1,087.07	Facility		$29.64	$140.18	$1,087.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $52.55 / $105.15	Professional		$26.08	$52.55	$105.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $34.61 / $332.00	Facility		$19.57	$34.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $33.64 / $51.49	Professional		$27.01	$33.64	$51.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.60 / $54.39	Professional		$23.69	$35.60	$54.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $555.00 / $1,087.07	Facility		$29.64	$555.00	$1,087.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $50.39 / $99.42	Professional		$28.04	$50.39	$99.42
United Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $35.33 / $72.11	Professional		$24.92	$35.33	$72.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $35.49 / $173.31	Facility		$35.49	$35.49	$173.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $35.49 / $79.03	Professional		$27.87	$35.49	$79.03