Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $53.70 / $95.50	Facility		$39.81	$53.70	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $67.61	Professional		$38.90	$39.81	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Facility		$39.81	$39.81	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Facility		$34.67	$34.67	$36.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.02 / $85.11	Facility		$35.48	$38.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $169.82	Professional		$39.81	$39.81	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $46.77 / $134.90	Facility		$38.02	$46.77	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Facility		$39.81	$39.81	$41.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $40.74	Professional		$39.81	$39.81	$40.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $50,118.72 / $75,857.76	Facility		$51.29	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $57.54	Professional		$38.90	$39.81	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Facility		$39.81	$39.81	$46.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $47.86	Professional		$28.18	$39.81	$47.86