Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $64.57	Facility		$23.99	$45.71	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $52.48	Professional		$20.89	$34.67	$52.48
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 $43.65 / $47.86 / $47.86	Facility		$43.65	$47.86	$47.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $53,703.18	Facility		$87.10	$87.10	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $66.07	Professional		$23.44	$23.44	$66.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $223.87	Facility		$57.54	$95.50	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $112.20	Professional		$36.31	$64.57	$112.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Facility		$43.65	$43.65	$45.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $50,118.72 / $75,857.76	Facility		$93.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $56.23	Professional		$38.02	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.39 / $36.31	Facility		$18.20	$22.39	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $48.98	Professional		$19.05	$28.18	$48.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Facility		$40.74	$40.74	$45.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65