Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $58.88	Facility		$23.99	$37.15	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $48.98	Professional		$21.88	$33.11	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $81.28	Professional		$26.30	$26.30	$81.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $46.77	Facility		$43.65	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $50,118.72	Facility		$77.62	$77.62	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $50.12	Professional		$28.84	$28.84	$50.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $81.28 / $190.55	Facility		$48.98	$81.28	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $97.72	Professional		$44.67	$70.79	$97.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $42.66	Professional		$38.02	$39.81	$42.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $50,118.72 / $75,857.76	Facility		$91.20	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $46.77	Professional		$34.67	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $48.98	Professional		$16.98	$29.51	$48.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $46.77	Facility		$37.15	$42.66	$46.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $42.66	Professional		$38.02	$39.81	$42.66