Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $3,548.13	Facility		$30.90	$45.71	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $389.05	Facility		$28.84	$28.84	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $158.49	Professional		$30.90	$30.90	$158.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $112.20	Facility		$30.90	$39.81	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $33.88	Professional		$30.90	$33.88	$33.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Facility		$25.12	$25.12	$26.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Professional		$25.12	$25.12	$26.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $50,118.72 / $75,857.76	Facility		$70.79	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $47.86	Professional		$28.18	$32.36	$47.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $302.00	Professional		$25.12	$26.30	$302.00