Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $69.18 / $123.03	Facility		$53.70	$69.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $72.44	Professional		$52.48	$53.70	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $54.95	Facility		$53.70	$53.70	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Facility		$43.65	$43.65	$45.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $85.11	Facility		$45.71	$50.12	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Professional		$53.70	$53.70	$60.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $181.97	Facility		$50.12	$64.57	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $67.61	Professional		$52.48	$52.48	$67.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Facility		$52.48	$52.48	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $53.70	Professional		$52.48	$53.70	$53.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $50,118.72 / $75,857.76	Facility		$66.07	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $63.10	Professional		$50.12	$53.70	$63.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Facility		$52.48	$52.48	$60.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $53.70	Professional		$52.48	$53.70	$53.70