Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $72.44	Facility		$20.89	$50.12	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $56.23	Professional		$25.12	$33.11	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Facility		$64.57	$64.57	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $109.65	Professional		$34.67	$34.67	$109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $52.48 / $52.48	Facility		$48.98	$52.48	$52.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $102.33 / $50,118.72	Facility		$38.02	$102.33	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $63.10	Professional		$28.18	$28.18	$63.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $245.47	Facility		$64.57	$104.71	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $123.03	Professional		$39.81	$67.61	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Facility		$44.67	$44.67	$46.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $44.67	Professional		$36.31	$38.90	$44.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $50,118.72 / $75,857.76	Facility		$95.50	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $61.66	Professional		$41.69	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $66.07 / $77.62	Facility		$23.44	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $53.70	Professional		$20.89	$31.62	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Facility		$36.31	$36.31	$46.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $44.67	Professional		$36.31	$38.90	$44.67