Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.92 / $33.88	Facility		$12.02	$26.92	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $27.54	Professional		$12.02	$18.20	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $41.69	Professional		$12.88	$12.88	$41.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $24.55 / $24.55	Facility		$22.91	$24.55	$24.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50,118.72	Facility		$46.77	$46.77	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $29.51	Professional		$15.14	$15.14	$29.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $114.82	Facility		$30.20	$48.98	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $58.88	Professional		$26.92	$42.66	$58.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $22.39	Professional		$16.98	$18.20	$22.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50,118.72 / $75,857.76	Facility		$47.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $28.84	Professional		$19.50	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $26.92	Professional		$9.77	$14.79	$26.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.78 / $22.39	Facility		$16.98	$17.78	$22.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $22.39	Professional		$16.98	$18.20	$22.39