Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $67.61	Facility		$19.95	$47.86	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $52.48	Professional		$22.91	$30.90	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $123.03	Facility		$61.66	$61.66	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $102.33	Professional		$32.36	$32.36	$102.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50.12 / $50.12	Facility		$46.77	$50.12	$50.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $97.72 / $50,118.72	Facility		$36.31	$97.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Professional		$26.92	$26.92	$60.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $234.42	Facility		$61.66	$100.00	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $117.49	Professional		$38.02	$64.57	$117.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $21.38	Facility		$20.42	$20.42	$21.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $37.15	Professional		$20.42	$34.67	$37.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50,118.72 / $75,857.76	Facility		$43.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $58.88	Professional		$39.81	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $63.10 / $74.13	Facility		$22.39	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $51.29	Professional		$19.95	$30.20	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $34.67	Facility		$20.42	$32.36	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $37.15	Professional		$20.42	$34.67	$37.15