Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $165.96 / $389.05	Facility		$38.02	$165.96	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $81.28	Professional		$19.05	$42.66	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $63.10 / $75.86	Professional		$19.95	$63.10	$75.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $50,118.72	Facility		$79.43	$97.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $63.10 / $208.93	Professional		$21.38	$63.10	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $158.49	Facility		$34.67	$70.79	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $138.04	Professional		$48.98	$75.86	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $81.28	Facility		$57.54	$72.44	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $67.61 / $114.82	Professional		$25.70	$67.61	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $125.89	Professional		$60.26	$67.61	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $75.86	Facility		$48.98	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $91.20	Professional		$28.18	$47.86	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $67.61 / $95.50	Facility		$20.42	$67.61	$95.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $67.61 / $131.83	Professional		$26.30	$67.61	$131.83