Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.84 / $58.88	Facility		$19.95	$28.84	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $75.86	Professional		$19.95	$19.95	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.39	Professional		$19.95	$19.95	$22.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $100.00	Facility		$19.05	$19.05	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $275.42	Professional		$19.95	$19.95	$275.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $309.03	Facility		$85.11	$112.20	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Professional		$100.00	$100.00	$165.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Professional		$64.57	$64.57	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $50,118.72 / $75,857.76	Facility		$95.50	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $66.07	Professional		$19.95	$19.95	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Facility		$64.57	$64.57	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $64.57 / $77.62	Professional		$10.96	$64.57	$77.62