Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $47.86 / $67.61	Facility		$25.12	$47.86	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $54.95	Professional		$25.12	$38.90	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $91.20	Professional		$28.18	$28.18	$91.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $48.98 / $48.98	Facility		$45.71	$48.98	$48.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $50,118.72	Facility		$97.72	$97.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $38.90	Professional		$21.38	$25.70	$38.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $229.09	Facility		$60.26	$100.00	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $120.23	Professional		$57.54	$87.10	$120.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $36.31	Professional		$33.88	$36.31	$36.31
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 $38.90 / $57.54 / $57.54	Professional		$38.90	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $53.70	Professional		$19.50	$29.51	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Facility		$33.88	$33.88	$42.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31