Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $46.82 / $55.13	Facility		$41.50	$46.82	$55.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $44.35 / $58.14	Professional		$39.58	$44.35	$58.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $49.08 / $86.62	Professional		$41.72	$49.08	$86.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Facility		$76.25	$76.25	$76.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $76.25 / $76.25	Professional		$76.25	$76.25	$76.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $56.88	Facility		$56.88	$56.88	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $107.52 / $332.00	Facility		$53.96	$107.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $78.66 / $114.40	Professional		$53.96	$78.66	$114.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $46.82 / $48.14	Facility		$40.89	$46.82	$48.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $53.98 / $83.95	Professional		$40.89	$53.98	$83.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $74,999.25	Facility		$56.88	$56.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $48.74 / $128.46	Professional		$44.04	$48.74	$128.46
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $56.87 / $119.39	Professional		$37.46	$56.87	$119.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $53.98 / $53.98	Facility		$46.82	$53.98	$53.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $53.98 / $91.05	Professional		$44.26	$53.98	$91.05