Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $65.05 / $264.36	Facility		$46.49	$65.05	$264.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $48.98 / $142.49	Professional		$40.67	$48.98	$142.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $53.73 / $111.28	Professional		$43.26	$53.73	$111.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $55.10	Facility		$55.10	$55.10	$55.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $69.43	Professional		$55.10	$55.10	$69.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $159.82 / $211.81	Facility		$65.06	$159.82	$211.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $74.36 / $174.72	Professional		$45.78	$74.36	$174.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $48.31 / $332.00	Facility		$25.00	$48.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $73.78 / $114.82	Professional		$59.49	$73.78	$114.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $32.42 / $32.42	Facility		$32.42	$32.42	$32.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $48.57 / $92.73	Professional		$32.42	$48.57	$92.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $211.81 / $597.00	Facility		$65.06	$211.81	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $74.56 / $161.88	Professional		$49.24	$74.56	$161.88
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,826.00 / $4,840.00	Facility		$835.00	$2,826.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $63.29 / $128.77	Professional		$44.39	$63.29	$128.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $54.23 / $147.54	Facility		$54.23	$54.23	$147.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $68.78 / $119.36	Professional		$39.64	$68.78	$119.36