Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $186.21	Facility		$61.66	$117.49	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $74.13	Professional		$42.66	$48.98	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $162.18	Facility		$61.66	$61.66	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $138.04	Professional		$28.84	$28.84	$138.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $61.66	Professional		$45.71	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $177.83	Facility		$41.69	$131.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $302.00	Professional		$32.36	$32.36	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $208.93	Facility		$52.48	$81.28	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $120.23	Professional		$29.51	$37.15	$120.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $81.28	Professional		$50.12	$61.66	$81.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $50,118.72	Facility		$81.28	$117.49	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $74.13	Facility		$37.15	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $93.33	Professional		$26.30	$37.15	$93.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $70.79	Facility		$37.15	$69.18	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $81.28	Professional		$47.86	$61.66	$81.28