Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $69.18 / $125.89	Facility		$53.70	$69.18	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $74.13	Professional		$52.48	$53.70	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Facility		$53.70	$53.70	$56.23
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 $51.29 / $51.29 / $72.44	Facility		$51.29	$51.29	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $58.88	Professional		$53.70	$53.70	$58.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $181.97	Facility		$50.12	$66.07	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $69.18	Professional		$56.23	$57.54	$69.18
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 $64.57 / $50,118.72 / $75,857.76	Facility		$64.57	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $48.98 / $53.70 / $69.18	Professional		$48.98	$53.70	$69.18
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