Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $114.82	Facility		$40.74	$54.95	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $57.54	Professional		$39.81	$40.74	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $43.65	Facility		$41.69	$41.69	$43.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $85.11	Facility		$38.90	$38.90	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $173.78	Professional		$40.74	$40.74	$173.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $138.04	Facility		$38.02	$50.12	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $58.88	Professional		$42.66	$42.66	$58.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Facility		$40.74	$40.74	$43.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $50,118.72 / $75,857.76	Facility		$52.48	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $58.88	Professional		$40.74	$40.74	$58.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Facility		$40.74	$40.74	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $48.98	Professional		$40.74	$43.65	$48.98