Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $52.60 / $91.00	Facility		$29.88	$52.60	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $42.34 / $59.70	Professional		$28.52	$42.34	$59.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $45.09 / $79.48	Professional		$27.81	$45.09	$79.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $44.07	Facility		$44.07	$44.07	$44.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $44.07 / $69.64	Professional		$44.07	$44.07	$69.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $49.58 / $49.58	Facility		$49.58	$49.58	$49.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $53.05 / $125.08	Professional		$28.70	$53.05	$125.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $50.30 / $332.00	Facility		$31.56	$50.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $81.18 / $123.77	Professional		$58.38	$81.18	$123.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $48.32 / $48.32	Facility		$25.08	$48.32	$48.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $55.57 / $87.00	Professional		$41.46	$55.57	$87.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $49.58 / $74,999.25	Facility		$49.58	$49.58	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $59.32 / $128.36	Professional		$33.53	$59.32	$128.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $55.54 / $115.98	Professional		$38.65	$55.54	$115.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $48.32 / $55.10	Facility		$33.33	$48.32	$55.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $55.65 / $97.47	Professional		$41.46	$55.65	$97.47