Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $51.29 / $109.65	Facility		$38.02	$51.29	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $54.95	Professional		$38.02	$44.67	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $47.86	Professional		$32.36	$45.71	$47.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $50,118.72	Facility		$31.62	$46.77	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $245.47	Professional		$46.77	$46.77	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $147.91	Facility		$39.81	$48.98	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $42.66	Facility		$39.81	$40.74	$42.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Professional		$39.81	$40.74	$40.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $66.07	Professional		$45.71	$45.71	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $44.67	Facility		$39.81	$40.74	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $39.81 / $48.98	Professional		$13.49	$39.81	$48.98