Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $131.83	Facility		$54.95	$72.44	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $112.20	Professional		$53.70	$54.95	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Facility		$57.54	$57.54	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $85.11	Facility		$51.29	$51.29	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $234.42	Professional		$54.95	$54.95	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $186.21	Facility		$52.48	$67.61	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23
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 $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $79.43	Professional		$54.95	$54.95	$79.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Facility		$54.95	$54.95	$64.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $66.07	Professional		$54.95	$56.23	$66.07