Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $52.82 / $75.56	Facility		$38.22	$52.82	$75.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $44.40 / $73.31	Professional		$38.22	$44.40	$73.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $30.50 / $74.19	Professional		$15.81	$30.50	$74.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.51 / $60.51 / $60.51	Facility		$60.51	$60.51	$60.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $60.51 / $60.51	Professional		$60.51	$60.51	$60.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $14,648.00	Facility		$46.49	$46.49	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $52.17 / $119.85	Professional		$25.44	$52.17	$119.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $91.14 / $332.00	Facility		$45.89	$91.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $55.96 / $110.59	Professional		$47.40	$55.96	$110.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $52.82 / $86.65	Professional		$33.40	$52.82	$86.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $199.94 / $74,999.25	Facility		$46.49	$199.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $53.32 / $103.82	Professional		$38.03	$53.32	$103.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $47.53 / $100.20	Professional		$35.40	$47.53	$100.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $51.04	Facility		$44.10	$44.10	$51.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $51.04 / $96.87	Professional		$33.40	$51.04	$96.87