Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $45.71	Facility		$23.99	$33.11	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $42.66	Professional		$16.98	$19.95	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $38.90	Professional		$16.60	$19.50	$38.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $112.20 / $478.63	Facility		$30.20	$112.20	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $35.48 / $75.86	Professional		$20.42	$35.48	$75.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $64.57	Facility		$19.50	$28.18	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $35.48	Professional		$19.05	$23.44	$35.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $39.81	Professional		$16.60	$23.44	$39.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50,118.72 / $75,857.76	Facility		$41.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $50.12	Professional		$21.88	$27.54	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $870.96 / $1,071.52	Facility		$758.58	$870.96	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $48.98	Professional		$15.49	$22.39	$48.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $63.10	Facility		$15.14	$19.50	$63.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $51.29	Professional		$15.14	$22.91	$51.29