Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $125.89	Professional		$46.77	$95.50	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $158.49	Professional		$85.11	$100.00	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $91.20	Facility		$48.98	$48.98	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $141.25	Professional		$48.98	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $549.54	Facility		$199.53	$199.53	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $524.81	Professional		$102.33	$194.98	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $114.82	Facility		$38.90	$50.12	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $194.98	Professional		$97.72	$125.89	$194.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $186.21	Professional		$61.66	$95.50	$186.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50,118.72 / $75,857.76	Facility		$47.86	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $208.93	Professional		$61.66	$91.20	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $131.83	Facility		$70.79	$120.23	$131.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $218.78	Professional		$61.66	$109.65	$218.78