Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $48.98 / $70.79	Facility		$19.95	$48.98	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $54.95	Professional		$25.12	$33.11	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $125.89	Facility		$63.10	$63.10	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $95.50	Professional		$33.11	$33.88	$95.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $51.29	Facility		$47.86	$51.29	$51.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $50,118.72	Facility		$34.67	$100.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $61.66	Professional		$25.70	$25.70	$61.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $239.88	Facility		$63.10	$102.33	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $120.23	Professional		$38.90	$66.07	$120.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Facility		$46.77	$46.77	$48.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $46.77	Professional		$35.48	$38.02	$46.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $60.26	Professional		$40.74	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $75.86	Facility		$22.91	$64.57	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $52.48	Professional		$20.42	$30.90	$52.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Facility		$35.48	$35.48	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $46.77	Professional		$35.48	$38.02	$46.77