Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $47.88 / $92.92	Facility		$27.56	$47.88	$92.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $34.28 / $59.41	Professional		$24.19	$34.28	$59.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $36.69 / $64.79	Professional		$29.39	$36.69	$64.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $52.37	Professional		$39.47	$39.47	$52.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $45.75 / $45.75	Facility		$45.75	$45.75	$45.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $45.38 / $93.76	Professional		$27.76	$45.38	$93.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $56.19 / $332.00	Facility		$35.34	$56.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $74.69 / $112.32	Professional		$52.98	$74.69	$112.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $44.46 / $44.46	Facility		$28.63	$44.46	$44.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $51.13 / $82.61	Professional		$39.36	$51.13	$82.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $45.75 / $74,999.25	Facility		$45.75	$45.75	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $48.85 / $93.76	Professional		$30.56	$48.85	$93.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $46.63 / $90.12	Professional		$31.94	$46.63	$90.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $42.96 / $55.58	Facility		$33.68	$42.96	$55.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $53.96 / $89.16	Professional		$40.40	$53.96	$89.16