Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $69.18 / $97.72	Facility		$28.84	$69.18	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $77.62	Professional		$34.67	$48.98	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $177.83	Facility		$89.13	$89.13	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $147.91	Professional		$53.70	$53.70	$147.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $72.44 / $72.44	Facility		$67.61	$72.44	$72.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $154.88 / $50,118.72	Facility		$53.70	$154.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $95.50	Professional		$39.81	$39.81	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $338.84	Facility		$89.13	$144.54	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $169.82	Professional		$54.95	$93.33	$169.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Facility		$58.88	$58.88	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $58.88	Professional		$52.48	$54.95	$58.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $85.11	Professional		$57.54	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $87.10 / $117.49	Facility		$35.48	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $74.13	Professional		$28.84	$44.67	$74.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $61.66	Facility		$52.48	$53.70	$61.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $58.88	Professional		$52.48	$54.95	$58.88