Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $54.43 / $77.54	Facility		$39.36	$54.43	$77.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $51.20 / $128.54	Professional		$39.01	$51.20	$128.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $50.60 / $88.77	Professional		$0.79	$50.60	$88.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Facility		$74.69	$74.69	$74.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Professional		$74.69	$74.69	$74.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $48.48 / $48.48	Facility		$48.48	$48.48	$48.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $75.59 / $139.59	Professional		$38.47	$75.59	$139.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $89.03 / $332.00	Facility		$39.57	$89.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $50.64 / $77.34	Professional		$41.51	$50.64	$77.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $44.21 / $83.45	Professional		$35.64	$44.21	$83.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $555.00 / $74,999.25	Facility		$48.48	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $72.68 / $139.59	Professional		$37.04	$72.68	$139.59
Optum Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $57.18	Professional		$57.18	$57.18	$57.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $59.22 / $121.64	Professional		$41.95	$59.22	$121.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $229.11	Facility		$35.34	$35.34	$229.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $46.23 / $93.93	Professional		$35.45	$46.23	$93.93