Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $66.07	Facility		$19.05	$46.77	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $52.48	Professional		$22.91	$30.20	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $120.23	Facility		$58.88	$58.88	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $100.00	Professional		$31.62	$31.62	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $48.98	Facility		$44.67	$48.98	$48.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $95.50 / $50,118.72	Facility		$43.65	$95.50	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $58.88	Professional		$32.36	$32.36	$58.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $229.09	Facility		$58.88	$97.72	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $114.82	Professional		$37.15	$63.10	$114.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Facility		$35.48	$35.48	$37.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $35.48	Professional		$33.88	$35.48	$35.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $57.54	Professional		$38.90	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $61.66 / $72.44	Facility		$21.88	$61.66	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $50.12	Professional		$19.50	$29.51	$50.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.88 / $37.15	Facility		$33.11	$33.88	$37.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $35.48	Professional		$33.88	$35.48	$35.48